| Millennium Physician Group Llc | |
|
24600 S Tamiami Trl Ste 500 Bonita Springs FL 34134-7025 | |
| (239) 948-3761 | |
| (239) 948-3762 |
| Full Name | Millennium Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 24600 S Tamiami Trl Ste 500, Bonita Springs, 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 24600 S Tamiami Trl Ste 500 Bonita Springs FL 34134-7025 Ph: (239) 948-3761 |
| NPI Number | 1992477780 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992477780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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