| Millennium Physician Group LLC | |
|
1700 E Venice Ave Venice FL 34292-3190 | |
| (941) 483-9760 | |
| (941) 483-9775 |
| Full Name | Millennium Physician Group LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 E Venice Ave, Venice, 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 1700 E Venice Ave Venice FL 34292-3190 Ph: (941) 483-9760 |
| NPI Number | 1477225076 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477225076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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