NPI 1114680105

Millennium Physician Group LLC

Organisation Family Medicine Physician Port Charlotte, FL

Practice location

Address: 3440 Tamiami Trl Unit 2, Port Charlotte, FL 33952-8134
Phone: (941) 624-3600
Fax: (941) 624-0700
Mailing address: 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Authorised official

Name: Mary Haltigan
Title: Director of Revenue Cycle
Phone: (877) 856-3774

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Florida →

Registry record

NPI: 1114680105
Entity type: Organization
NPI issued: 18 Oct 2021
Record last updated: 18 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.