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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1003588849
Family Medicine in Fort Myers, FL

Active since September 30, 2021CLIA Certified · 12 labs
13813 METRO PKWY, FORT MYERS, FL 33912(855) 674-4624 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Sep 30, 2021 (2 updates tracked since 2021).

About Millennium Physician Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1003588849) is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since September 2021. The organization holds 12 active CLIA laboratory certificates, maintains a secondary practice location in Jacksonville, and lists Mary Haltigan, Director Of Revenue Cycles, as its authorized official.

NPPES Registry Identity

NPI1003588849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address13813 METRO PKWYFort Myers, FL 33912-4343
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Phone(855) 674-4624
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycles · (877) 856-3774
Enumeration DateSeptember 30, 2021
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
✔ NPI 1003588849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13813 METRO PKWY, Fort Myers, FL 33912
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Secondary Practice Location 1

Location 16531 103rd StJacksonville, FL 32210-7131 · Phone (904) 772-2727 · Fax (904) 772-1693

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 12

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D0682222

Millennium Physician Group · Fort Myers, FL
Active · expires Aug 9, 2027
CLIA Number10D0682222
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDr. Roberto Lopez
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group13813 Metro Pkwy, Fort Myers, FL 33912
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2340490

Millennium Physician Group, LLC · Fort Myers, FL
Active · expires Mar 17, 2028
CLIA Number10D2340490
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorDora V. Ancaya-Lujan
Laboratory Phone(239) 481-2400
Laboratory LocationMillennium Physician Group, LLC13691 Metro Pkwy Ste 110, Fort Myers, FL 33912
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2004922

Millennium Physician Group LLC · Fort Myers, FL
Active · expires Mar 15, 2028
CLIA Number10D2004922
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorFrederick Burford
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group LLC13774 Plantation Road Unit 101, Fort Myers, FL 33912
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2250554

Millennium Physician Group, LLC · Jacksonville, FL
Active · expires Jan 26, 2028
CLIA Number10D2250554
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorPatrick Bunyi
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC7451 103rd St Ste 8, Jacksonville, FL 32210
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2177690

Millennium Physician Group · Fort Myers, FL
Active · expires Jan 15, 2028
CLIA Number10D2177690
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorBinh Truong
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group13691 Metro Pkwy Suite 420, Fort Myers, FL 33912
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2174747

Millennium Physician Group, LLC · Fort Myers, FL
Active · expires Nov 6, 2027
CLIA Number10D2174747
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorIrit Hemed
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC14210 Metropolis Ave Suite 102, Fort Myers, FL 33912
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD J WEISS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 936-1343
MR. CHRISTOPHER P STOWERS MPT
Physical Therapist
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 936-8507
ASHLEY MARIE MINOR PA
Physician Assistant
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 938-1717
JULIE ANNE MARIE CHAPMAN ARNP
Nurse Practitioner
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 938-1717
SHAUNA MARIE SMITH FNP-C, APRN
Nurse Practitioner (Family)
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 215-4101
MICHAEL EMMIT COLLIER MD
Internal Medicine
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 936-1343
TAYLOR CAMPBELL PA-C
Physician Assistant (Medical)
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (239) 938-1717
DR. MICHAEL WILLIAM KUHN D.O.
Radiology (Diagnostic Radiology)
13813 METRO PKWY
FORT MYERS, FL 33912
Lee County (855) 674-4624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1003588849. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 13813 Metro Pkwy, Fort Myers, FL 33912. The listed phone number is (855) 674-4624.

What is Millennium Physician Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Millennium Physician Group LLC hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Millennium Physician Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Millennium Physician Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Millennium Physician Group LLC was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.