Active NPI
Millennium Physician Group LLC
- Durable Medical Equipment & Medical Supplies
- Naples, FL
National Provider Identifier
1023444874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MILLENNIUM PHYSICIAN GROUP LLC
- Practice address
- 400 8TH St N
Naples, FL 34102-5519 - Phone
- (239) 261-5511
- Fax
- (239) 649-3301
- NPI assigned
- Sep 24, 2013
- Last updated
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Haltigan
- Title
- Director Revenue Cycle Mngmt
- Phone
- (877) 856-3774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
400 8TH St N
Naples, FL 34102-5519
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6953950001 | Other | FL | MEDICARE NSC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1023444874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 8TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025519",
"telephone_number": "239-261-5511",
"fax_number": "239-649-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM PHYSICIAN GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "HALTIGAN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MNGMT",
"authorized_official_telephone_number": "877-856-3774"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "6953950001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.