Millennium Physician Group LLC

NPI #1538831391 in Orange Park, Florida

Provider Information

NPI Number: 1538831391
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: 1555 KINGSLEY AVE STE 604
City: Orange Park
State: Florida
ZIP Code: 32073-9207
Phone: (904) 541-0670

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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