Victor C Micolucci (NPI# 1568487478, PAC ID# 1355325986) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568487478 |
| PAC ID by PECOS | 1355325986 |
| Professional Enrollment ID | I20100914001128 |
| Full Name | Victor C Micolucci |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
7011 A C Skinner Pkwy Suite 160 Jacksonville FL 32256-6953 |
| Phone Number | 9046629035 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| Address | Phone | Organization |
|---|---|---|
| 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 | 9046629035 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
7011 A C SKINNER PKWY SUITE 160 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32256-6953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis Allen Clausen | Nurse Practitioner | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Vaqar Ali | Interventional Cardiology | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Bruce P Krieger | Critical Care (intensivists) | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Sumant Lamba | Interventional Cardiology | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Donna Eugenia Geiger | Nurse Practitioner | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| David K Swain | Podiatry | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Merdijana Ahmetovic | Nurse Practitioner | First Coast Cardiovascular Institute Pa | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Satywan Chhabria | Internal Medicine | Millennium Physician Group LLC | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Zhi J Yu | Family Medicine | Millennium Physician Group LLC | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Carol L Gruber | Nurse Practitioner | Millennium Physician Group LLC | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6953 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
| Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
| Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
| Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Find all physicians in zip 32256 | |||
| City | JACKSONVILLE |
| Zip Code | 32256 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Victor C Micolucci.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.