Organization Active NPI

Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
National Provider Identifier
1073131702
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MILLENNIUM PHYSICIAN GROUP LLC
Practice address
31075 Cortez Blvd
Brooksville, FL 34602-7542
Phone
(352) 796-5303
Fax
(352) 796-5304
NPI assigned
Jul 9, 2020
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne Sherman
Title
Business Services Manager
Phone
(877) 856-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

31075 Cortez Blvd
Brooksville, FL 34602-7542

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

National Provider Directory

National Provider Directory

Locations (25 of 94)

1659 US Highway 27 N
Unit 102
Avon Park, FL 33825
Phone (863) 657-0710

9410 Fountain Medical Ct
Ste A102
Bonita Springs, FL 34135
Phone (239) 948-9600

9500 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 319-2195

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

932 Candlelight Blvd
Brooksville, FL 34601
Phone (352) 345-8185

323 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-4110

3571 Del Prado Blvd N
Ste 2
Cape Coral, FL 33909
Phone (239) 656-6300

2515 Countryside Blvd
Ste H
Clearwater, FL 33763
Phone (727) 796-8600

2400 S McCall Rd
Ste C
Englewood, FL 34224
Phone (941) 473-2913

3937 S Access Rd
Unit A
Englewood, FL 34224
Phone (586) 215-9493

779 Medical Dr
Ste 6
Englewood, FL 34223
Phone (941) 681-3690

900 Pine St
Ste 116
Englewood, FL 34223
Phone (941) 255-3535

900 Pine St
Ste 221
Englewood, FL 34223
Phone (941) 548-1708

1126 S 14th St
Fernandina Beach, FL 32034
Phone (904) 432-3061

1128 S 14th St
Fernandina Beach, FL 32034
Phone (904) 420-6105

1132 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-4690

22439 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 648-8081

12700 Creekside Ln
Ste 201
Fort Myers, FL 33919
Phone (229) 432-9901

13691 Metro Pkwy
Ste 320
Fort Myers, FL 33912
Phone (239) 466-6855

13691 Metro Pkwy
Ste 420
Fort Myers, FL 33912
Phone (239) 215-4064

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908
Phone (239) 433-4014

15740 New Hampshire Ct
Ste B
Fort Myers, FL 33908
Phone (239) 415-1100

17901 Summerlin Rd
Ste C
Fort Myers, FL 33908
Phone (239) 291-3602

43 Barkley Cir
Fort Myers, FL 33907
Phone (239) 359-4541

4571 Colonial Blvd
Ste 110
Fort Myers, FL 33966
Phone (239) 226-2727

Practitioners & affiliated clinicians

Practitioners 1,261

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,261

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1073131702",
    "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": "31075 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027542",
            "telephone_number": "352-796-5303",
            "fax_number": "352-796-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "BUSINESS SERVICES MANAGER",
        "authorized_official_telephone_number": "877-856-3774"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, 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.

Verify at the official NPI Registry.