Millennium Physician Group LLC
Family Medicine in Naples, FL. Organization (NPI-2).
NPI number1467115451
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1467115451
- Entity type
- Organization (NPI-2)
- Legal business name
- Millennium Physician Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2021
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
11181 Health Park Blvd Ste 3030Naples, FL 34110-5743
Phone 239-249-8996 · Fax 239-249-3036
Mailing address
2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342
Phone 877-856-3774 · Fax 239-599-2612
Authorized official
Mary Haltigan
Director Of Revenue Cycle
8778563774
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