MILLENNIUM PHYSICIAN GROUP LLC
NPI 1093487837
Family Medicine in Jacksonville, FL

Q: What is Millennium Physician Group LLC's NPI number?

The NPI number for Millennium Physician Group LLC is 1093487837. It was assigned to this organization in the NPPES registry on September 30, 2021.

Q: What is Millennium Physician Group LLC's specialty?

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

Active since September 30, 2021CLIA 10D0866350 · Waiver

4131 UNIVERSITY BLVD S STE 8, JACKSONVILLE, FL 32216(904) 733-3992(904) 737-4344 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, Sep 30, 2021 (2 updates tracked since 2021).

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About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1093487837) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093487837

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC

Location Address4131 UNIVERSITY BLVD S STE 8Jacksonville, FL 32216-4351

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(904) 733-3992

Fax(904) 737-4344

Organization SubpartNo

Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774

Enumeration DateSeptember 30, 2021

Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1093487837 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.

4131 UNIVERSITY BLVD S STE 8, Jacksonville, FL 32216

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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

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 10D0866350

Millennium Physician Group, LLC · Jacksonville, FL

Active · expires Aug 31, 2026

CLIA Number10D0866350

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorElias N. Saikali

Laboratory Phone(941) 787-7665

Laboratory LocationMillennium Physician Group, LLC4131 University Blvd South #8, Jacksonville, FL 32216

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 6

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

HOSPITAL PRACTICE ASSOCIATES,INC

Hospitalist