| Millennium Physician Group Llc | |
|
13823 Tamiami Trail N North Port FL 34287-2069 | |
| (941) 888-0770 | |
| (941) 888-0778 |
| Full Name | Millennium Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 13823 Tamiami Trail N, North Port, 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 13823 Tamiami Trail N North Port FL 34287-2069 Ph: (941) 888-0770 |
| NPI Number | 1215690102 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215690102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Gcmg-north Port Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14575 Tamiami Trl, North Port, FL 34287 Phone: 941-429-3400 Fax: 941-429-3430 | |
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Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13815 Tamiami Trail N, North Port, FL 34287 Phone: 941-426-4900 Fax: 239-423-9422 |