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Millennium Physician Group LLC

Organization Active NPI Family Medicine Physician · Sanibel, FL

NPI 1346912938 · NPPES record last updated Jan 18, 2023

Key facts

NPI
1346912938
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MILLENNIUM PHYSICIAN GROUP LLC
Practice address
695 Tarpon Bay Rd Unit 2
Sanibel, FL 33957-3135
Phone
(239) 312-4544
Fax
(239) 312-4543
NPI assigned
Oct 1, 2021
Organization subpart
No

Authorized official

Name
Mary Haltigan
Title
Director of Revenue Cycle
Phone
(877) 856-3774

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Millennium Physician Group LLC (123 organizations share this tax ID)

Locations

695 Tarpon Bay Rd
Unit 2
Sanibel, FL 33957
Phone (239) 312-4544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

695 Tarpon Bay Rd Unit 2
Sanibel, FL 33957-3135

Mailing address

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

Other providers in Sanibel, FL

All providers in Sanibel, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.