MILLENNIUM PHYSICIAN GROUP LLC
NPI 1073131702
Family Medicine in Brooksville, FL

Active since July 09, 2020CLIA Certified · 2 labs
31075 CORTEZ BLVD, BROOKSVILLE, FL 34602(352) 796-5303(352) 796-5304 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Jul 9, 2020 (2 updates tracked since 2020).

About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1073131702) is a healthcare organization registered as a family medicine in Brooksville, Florida and active in the NPI registry since July 2020. The organization holds 2 active CLIA laboratory certificates and lists Joanne Sherman, Business Services Manager, as its authorized official.

NPPES Registry Identity

NPI1073131702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address31075 CORTEZ BLVDBrooksville, FL 34602-7542
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Fax(352) 796-5304
Organization SubpartNo
Authorized OfficialJoanne ShermanBusiness Services Manager · (877) 856-3774
Enumeration DateJuly 9, 2020
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
NPI 1073131702 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.
31075 CORTEZ BLVD, Brooksville, FL 34602

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D1013625

Millennium Physician Group, LLC · Brooksville, FL
Active · expires Jun 11, 2027
CLIA Number10D1013625
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorKellen Gower
Laboratory Phone(352) 796-5303
Laboratory LocationMillennium Physician Group, LLC20205 Cortez Blvd Unit A, Brooksville, FL 34601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2219730

Millennium Physician Group, LLC · Brooksville, FL
Active · expires Apr 6, 2027
CLIA Number10D2219730
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorMargaret Gathman
Laboratory Phone(352) 345-8185
Laboratory LocationMillennium Physician Group, LLC932 Candlelight Blvd, Brooksville, FL 34601
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

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

Family Medicine
31075 CORTEZ BLVD
BROOKSVILLE, FL 34602

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 1073131702. It was assigned to this organization in the NPPES registry on July 9, 2020.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 31075 Cortez Blvd, Brooksville, FL 34602. The listed phone number is (352) 796-5303.

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. 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.