MILLENNIUM PHYSICIAN GROUP LLC (NPI# 1811122880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811122880 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Practice Address |
6321 Daniels Pkwy Fort Myers FL 33912-4773 |
| Mailing Address |
2675 Winkler Ave Ste 200 Fort Myers FL 33901-9328 |
| Practice Telephone | 8778563774 |
| Practice Fax Number | 2395992612 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | MARY HALTIGAN (DIRECTOR REVENUE CYCLE MNGMT) |
| Authorized Official Telephone | 8778563774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1457787202 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 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 |
6321 DANIELS PKWY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417324955 | Millennium Independent Physician Network | Health Maintenance Organization | 6321 Daniels Pkwy, Ste 201, Fort Myers, FL 33912-4773 | 2015-09-01 |
| 1275971764 | Millennium Physician Group LLC | Internal Medicine | 6321 Daniels Pkwy, Ste 201, Fort Myers, FL 33912-4773 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093802092 | Eugene Usberghi Jr. | Family Medicine | 14801 Palm Beach Blvd, Suite 401, Fort Myers, FL 33905-2312 | 2006-10-10 |
| 1427548304 | M & H Med Housecalls, LLC | Family Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2018-05-16 |
| 1093121089 | Carmen Maria Fernandez | Family Medicine | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2014-07-10 |
| 1568874667 | Nadezhda Gonzalez | Family Medicine | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2014-05-22 |
| 1861660649 | Konstantine Konstantine Yankopolus | Family Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2008-02-14 |
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|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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.