Millennium Independent Physician Network

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MILLENNIUM INDEPENDENT PHYSICIAN NETWORK

Practice address

6321 Daniels Pkwy
Ste 201
Fort Myers, FL 33912-4773

Phone

(855) 674-7400

Fax

(855) 674-7401

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MILLENNIUM HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Geurt C Peet

Title

Ceo

Phone

(855) 674-7400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1417324955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY",
            "address_2": "STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "855-674-7400",
            "fax_number": "855-674-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY",
            "address_2": "STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "855-674-7400",
            "fax_number": "855-674-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM INDEPENDENT PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM HEALTHCARE LLC",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "PEET",
        "authorized_official_first_name": "GEURT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-674-7400"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "302R00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Milian Gonzalez
• Ruth Milien Jonathas, ARNP
• Michelle Milita
• Janet Millan
• Millennium Health Care Inc.
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC

• Health Maintenance Organization in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.