Millennium Physician Group LLC
NPI #1114680105 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1114680105
- Entity Type
- Organization
- Organization Name
- Millennium Physician Group LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Jan 18, 2023
Practice Location
- Address
- 3440 TAMIAMI TRL UNIT 2
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-8134
- Phone
- (941) 624-3600
Authorized Official
- Name
- MARY HALTIGAN
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (877) 856-3774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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