Organization

Millennium Physician Group Llc

Family Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Millennium Physician Group Llc

NPI Number

1174295927

NPI Type

Organization

Enumeration Date

09/30/2021

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2675 WINKLER AVE FL 2
4235 SUNBEAM RD

City

Fort Myers
Jacksonville

State

FL
FL

Postal Code

33901-9342
32257-6013

Country

US
US

Telephone Number

(877) 856-3774
(904) 322-8555

Authorized Official

Name

Mary Haltigan

Title or Position

DIRECTOR OF REVENUE CYCLE

Telephone Number

(877) 856-3774

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2023

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