Millennium Physician Group LLC

NPI #1235801986 in Macclenny, Florida

Provider Information

NPI Number: 1235801986
Entity Type: Organization
Organization Name: Millennium Physician Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 1, 2021
Last Updated: Jan 18, 2023

Practice Location

Address: 725 S 6TH ST
City: Macclenny
State: Florida
ZIP Code: 32063-9653
Phone: (904) 259-3150

Authorized Official

Name: MARY HALTIGAN
Title: DIRECTOR OF REVENUE CYCLE
Phone: (877) 856-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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