Millennium Physician Group LLC
NPI #1124790910 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1124790910
- Entity Type
- Organization
- Organization Name
- Millennium Physician Group LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 30, 2021
- Last Updated
- Jan 18, 2023
Practice Location
- Address
- 19621 COCHRAN BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-2070
- Phone
- (855) 674-4624
Authorized Official
- Name
- MARY HALTIGAN
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (877) 856-3774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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