Millennium Physician Group LLC

NPI #1265195259 in Orange Park, Florida

Provider Information

NPI Number: 1265195259
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: 1329 KINGSLEY AVE STE D
City: Orange Park
State: Florida
ZIP Code: 32073-4530
Phone: (904) 215-0700

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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