MILLENNIUM PHYSICIAN GROUP LLC (NPI# 1457787202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457787202 |
Entity Type | Organization |
Organization Name | MILLENNIUM PHYSICIAN GROUP LLC |
Practice Address |
2450 Tamiami Trl Ste A Port Charlotte FL 33952-3922 |
Mailing Address |
3434 Hancock Bridge Pkwy N Fort Myers FL 33903-7094 |
Practice Telephone | 9416242704 |
Practice Fax Number | 9416276066 |
Mailing Telephone | 8778563774 |
Mailing Fax Number | 2395992625 |
Enumeration Date | 2013-09-24 |
Last Update Date | 2014-03-12 |
Authorized Official Name | DEBORAH TETER (DIRECTOR REVENUE CYCLE MNGMT) |
Authorized Official Telephone | 8556747400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE NSC | 6953950003 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497181341 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 6610 Willow Park Dr Ste 101, Naples, FL 34109-9014 | 2013-09-24 |
1811122880 | Millennium Physician Group LLC | Internal Medicine | 6321 Daniels Pkwy, Fort Myers, FL 33912-4773 | 2009-05-20 |
1073131702 | Millennium Physician Group LLC | Family Medicine | 31075 Cortez Blvd, Brooksville, FL 34602-7542 | 2020-07-09 |
1316319221 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 9400 Bonita Beach Rd Se, Ste. 101, Bonita Springs, FL 34135-4520 | 2015-10-30 |
1023444874 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 400 8th St N, Naples, FL 34102-5519 | 2013-09-24 |
1538509278 | Millennium Physician Group LLC | Pharmacy | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2013-06-26 |
1275971764 | Millennium Physician Group LLC | Internal Medicine | 6321 Daniels Pkwy, Ste 201, Fort Myers, FL 33912-4773 | 2013-06-06 |
Street Address |
2450 TAMIAMI TRL STE A |
City | PORT CHARLOTTE |
State | FL |
Zip Code | 33952-3922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285615963 | Gary Blayne Jacobs | Emergency Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2005-11-09 |
1023594074 | Rita Felicia De Palma | Nurse Practitioner | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 | 2018-07-12 |
1699139295 | Natalie Renee Iverson | Nurse Practitioner | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2016-04-09 |
1861435695 | Vlatko Salopek | Family Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2006-06-13 |
1114972312 | Ewa A Bialikiewicz | Family Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2006-05-24 |
1053385443 | David M Reilly | Family Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
Find all providers in zip 33952 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
1093322117 | Charlotte Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 675 Tamiami Trl Ste 6b, Port Charlotte, FL 33953-2900 | 2020-09-24 |
1427519776 | Trucare Med, Inc | Durable Medical Equipment & Medical Supplies | 1620 Tamiami Trl Ste 211, Port Charlotte, FL 33948-4017 | 2019-03-28 |
1609332147 | Prescription Connection Inc. | Durable Medical Equipment & Medical Supplies | 4456 Tamiami Trl Ste B12, Port Charlotte, FL 33980-2136 | 2019-02-20 |
1710415195 | Divinity Group, Inc. | Durable Medical Equipment & Medical Supplies | 1223 Enterprise Dr Unit A, Port Charlotte, FL 33953-3847 | 2017-05-30 |
1902205305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Tamiami Trl, Port Charlotte, FL 33948-2136 | 2014-08-21 |
1265868517 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 4245 Kings Hwy Unit C, Port Charlotte, FL 33980-8416 | 2013-09-18 |
1174826846 | Harigopal Inc | Durable Medical Equipment & Medical Supplies | 21340 Gertrude Ave, Port Charlotte, FL 33952-5018 | 2010-12-17 |
1215240239 | Hansaraj Inc | Durable Medical Equipment & Medical Supplies | 3231 Tamiami Trl G, Port Charlotte, FL 33952-8031 | 2010-07-19 |
1780810184 | Lifestyle Hearing Aid Center, Lc | Durable Medical Equipment & Medical Supplies | 2221 Tamiami Trl, Suite C, Port Charlotte, FL 33948-2104 | 2009-06-01 |
Find all providers in PORT CHARLOTTE |
City | PORT CHARLOTTE |
Zip Code | 33952 |
Please comment or provide details below to improve the information on MILLENNIUM PHYSICIAN GROUP LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.