| Millennium Physician Group Llc | |
|
2561 Oak St Jacksonville FL 32204-4559 | |
| (904) 384-6009 | |
| (904) 384-5354 |
| Full Name | Millennium Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2561 Oak St, Jacksonville, Florida |
| Authorized Official Name and Position | Mary Haltigan (DIRECTOR OF 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 2561 Oak St Jacksonville FL 32204-4559 Ph: (904) 384-6009 |
| NPI Number | 1750043097 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750043097 | NPI | - | NPPES |
| CC835A | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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