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MILLENNIUM PHYSICIAN GROUP LLC NPI 1982377008


NPI Information

NPI: 1982377008
Provider Name: MILLENNIUM PHYSICIAN GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2145178

Address:
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL
ZIP 33825
Phone: (863) 657-0710
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MILLENNIUM PHYSICIAN GROUP, LLC is a family medicine in Avon Park, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MILLENNIUM PHYSICIAN GROUP, LLC NPI is 1982377008. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL
ZIP 33825-106
Phone: (863) 657-0710
Fax: (863) 657-0711

The provider's authorized official is Mary Haltigan .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (877) 856-3774.

The CLIA number assigned to this NPI record is 10D2145178 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2021 and was last updated on 7/26/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 11/14/2023

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