MILLENNIUM PHYSICIAN GROUP LLC
NPI 1225700065
Family Medicine in Fort Myers, FL

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

The NPI number for Millennium Physician Group LLC is 1225700065. 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 10D2248349 · Waiver

9345 BEN C PRATT/6 MILE CYPRESS PKWY STE 105, FORT MYERS, FL 33966(239) 320-8145(239) 320-8146 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 1225700065) 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 a CLIA Waiver certificate valid through January 12, 2028 and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1225700065

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC

Location Address9345 BEN C PRATT/6 MILE CYPRESS PKWY STE 105Fort Myers, FL 33966-6201

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612

Phone(239) 320-8145

Fax(239) 320-8146

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 1225700065 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.

9345 BEN C PRATT/6 MILE CYPRESS PKWY STE 105, Fort Myers, FL 33966

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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 10D2248349

Millennium Physician Group, LLC · Fort Myers, FL

Active · expires Jan 12, 2028

CLIA Number10D2248349

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2026

Certificate Expiration DateJanuary 12, 2028

Laboratory DirectorManuel Garcia

Laboratory Phone(239) 320-8145

Laboratory LocationMillennium Physician Group, LLC9345 Ben C Pratt Six Mile Cypress Pkwy - Ste 125, Fort Myers, FL 33966

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 1225700065. 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 9345 Ben C Pratt/6 Mile Cypress Pkwy Ste 105, Fort Myers, FL 33966. The listed phone number is (239) 320-8145.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2248349) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.