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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1205508991
Family Medicine in Jacksonville, FL

Active since September 30, 2021CLIA Certified · 6 labs
13155 ATLANTIC BLVD, JACKSONVILLE, FL 32225(904) 420-6102(904) 551-1347 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).

About Millennium Physician Group Llc NPPES

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

MILLENNIUM PHYSICIAN GROUP LLC (NPI 1205508991) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since September 2021. The organization holds 6 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1205508991
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address13155 ATLANTIC BLVDJacksonville, FL 32225-3125
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(904) 420-6102
Fax(904) 551-1347
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 1205508991 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.
13155 ATLANTIC BLVD, Jacksonville, FL 32225
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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 7

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 10D0879335

Millennium Physician Group LLC · Jacksonville, FL
Active · expires Jul 4, 2028
CLIA Number10D0879335
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorWilliam Schwartz
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC13155 Atlantic Blvd, Jacksonville, FL 32225
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2306270

Millennium Physician Group LLC · Jacksonville, FL
Active · expires Jun 12, 2028
CLIA Number10D2306270
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorUlises Caraballo
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC1201 Monument Rd Ste 100, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2176078

Millennium Physician Group - Home Visiting · Jacksonville, FL
Active · expires Dec 8, 2027
CLIA Number10D2176078
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorOscar Rodas
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group - Home Visiting9995 Gate Pkwy North #330, Jacksonville, FL 32246
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0864671

Millennium Physician Group LLC · Jacksonville, FL
Active · expires Jun 15, 2027
CLIA Number10D0864671
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorOscar Rodas
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC1201 Monument Rd Ste 201B, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2057722

Millennium Physician Group · Jacksonville, FL
Active · expires Apr 22, 2027
CLIA Number10D2057722
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorOscar Rodas
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group9960 Atrium Way, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2124676

Millennium Physician Group, LLC · Jacksonville, FL
Active · expires Jan 23, 2027
CLIA Number10D2124676
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorPatrick P. Bunyi
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC7307 N Main Street, Jacksonville, FL 32208
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.

MRS. SYLVIA PATRICIA RATLIFF NP-C
Nurse Practitioner (Family)
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 221-2222
ACKERMAN CANCER CENTER, PA
Urology
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 490-7400
ATLANTIC FAMILY ACUTE CARE CENTER LLC
Family Medicine
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 221-2222
ALEXIS MCAFEE ARNP
Nurse Practitioner (Family)
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 420-6102
MALLORY ELISE WINNICKI NP
Nurse Practitioner (Family)
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 490-7400
WILLIAM IVAN SCHWARTZ D.O.
Family Medicine
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 420-6102
ATLANTIC FAMILY MEDICAL CENTER OF JACKSONVILLE PL
Family Medicine
13155 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 221-2222

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 1205508991. 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 13155 Atlantic Blvd, Jacksonville, FL 32225. The listed phone number is (904) 420-6102.

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. 6 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.