| Millennium Physician Group, Llc | |
|
2002 Del Prado Blvd S Ste 100 Cape Coral FL 33990-4557 | |
| (239) 217-4470 | |
| (239) 217-4474 |
| Full Name | Millennium Physician Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2002 Del Prado Blvd S Ste 100, Cape Coral, Florida |
| Authorized Official Name and Position | Mary Haltigan (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8778563774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Physician Group, Llc 2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 Ph: (877) 856-3774 | Millennium Physician Group, Llc 2002 Del Prado Blvd S Ste 100 Cape Coral FL 33990-4557 Ph: (239) 217-4470 |
| NPI Number | 1063185601 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063185601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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