MILLENNIUM PHYSICIAN GROUP LLC
NPI 1063184828
Family Medicine in Plant City, FL

Active since September 30, 2021CLIA Certified · 3 labs
1907 S ALEXANDER ST STE 1, PLANT CITY, FL 33566(813) 754-3344(813) 754-3574 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Aug 24, 2022, Sep 30, 2021 (3 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 1063184828) is a healthcare organization registered as a family medicine in Plant City, Florida and active in the NPI registry since September 2021. The organization holds 3 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1063184828
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address1907 S ALEXANDER ST STE 1Plant City, FL 33566-0921
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Fax(813) 754-3574
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateSeptember 30, 2021
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1063184828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1907 S ALEXANDER ST STE 1, Plant City, FL 33566

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

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 Waiver 10D1005571

Millennium Physician Group LLC · Plant City, FL
Active · expires Oct 23, 2026
CLIA Number10D1005571
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorChristopher M. Berchelmann
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC1907 S Alexander St Ste 1, Plant City, FL 33566
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1102078

Millennium Physician Group, LLC · Plant City, FL
Active · expires Jul 9, 2027
CLIA Number10D1102078
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorDavid Thiele
Laboratory Phone(813) 717-9000
Laboratory LocationMillennium Physician Group, LLC1706 S Alexander St Ste B, Plant City, FL 33566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0979568

Millennium Physician Group, LLC · Plant City, FL
Active · expires Oct 24, 2026
CLIA Number10D0979568
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorCynthia Cortes
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC2004 W Thonotosassa Rd - Ste 101, Plant City, FL 33563
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 7

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

Family Medicine
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Family Medicine
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Nurse Practitioner (Family)
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Internal Medicine
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Nurse Practitioner (Family)
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Internal Medicine
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566
Nurse Practitioner (Family)
1907 S ALEXANDER ST STE 1
PLANT CITY, FL 33566

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 1063184828. 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 1907 S Alexander St Ste 1, Plant City, FL 33566. The listed phone number is (813) 754-3344.

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. 3 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 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.