MILLENIUM MEDICAL GROUP CORP. NPI 1629585906

NPI Information

  • NPI: 1629585906
  • Provider Name: MILLENIUM MEDICAL GROUP CORP.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: MILLENIUM MEDICAL GROUP
  • CLIA Number: 10D2264860
  • Address: 2740 SW 97TH AVE
    SUITE NUMBER A-111
    MIAMI, FL
    ZIP 33165
  • Phone: (786) 332-4330

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NPI Details

MILLENIUM MEDICAL GROUP CORP. is a mental health (including community mental health center) clinic center in Miami, FL. MILLENIUM MEDICAL GROUP CORP. NPI is 1629585906. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Millenium Medical Group.

The provider's business location address is:

2740 SW 97TH AVE
SUITE NUMBER A-111
MIAMI, FL
ZIP 33165-316
Phone: (786) 332-4330
Fax: (786) 332-4109

The provider's authorized official is Damarys Suarez .
The authorized official title is Administrator and has the following contact phone number (305) 613-0798.

The CLIA number assigned to this NPI record is 10D2264860 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA64254FLORIDANo
2261QM0850XClinic/CenterAdult Mental HealthNo
3251S00000XCommunity/Behavioral HealthNo
4207QA0505XFamily MedicineAdult MedicineARNP9227984FLORIDANo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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