1. Home
  2. Directory
  3. Florida
  4. Punta Gorda
  5. Family Medicine
  6. NPI Profile

MILLENNIUM PHYSICIAN GROUP LLC
NPI 1326701319
Family Medicine in Punta Gorda, FL

Active since October 18, 2021CLIA Certified · 11 labs
315 E OLYMPIA AVE UNIT 111, PUNTA GORDA, FL 33950(941) 369-1640(941) 637-9808 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, Oct 18, 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 1326701319) is a healthcare organization registered as a family medicine in Punta Gorda, Florida and active in the NPI registry since October 2021. The organization holds 11 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1326701319
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address315 E OLYMPIA AVE UNIT 111Punta Gorda, FL 33950-3823
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(941) 369-1640
Fax(941) 637-9808
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 18, 2021
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1326701319 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.
315 E OLYMPIA AVE UNIT 111, Punta Gorda, FL 33950
Open in Google Maps ↗

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 11

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 10D1098671

Millennium Physician Group LLC · Punta Gorda, FL
Active · expires Apr 23, 2027
CLIA Number10D1098671
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDr. Juan Rivera
Laboratory Phone(941) 235-3447
Laboratory LocationMillennium Physician Group LLC315 E Olympia Ave Ste 111, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2340288

Millennium Physician Group, LLC · Punta Gorda, FL
Active · expires Mar 15, 2028
CLIA Number10D2340288
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorMelody Burt
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC315 E Olympia Ave Suite 223, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2252923

Millennium Physician Group, LLC · Punta Gorda, FL
Active · expires Feb 15, 2028
CLIA Number10D2252923
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorRichard Santa Cruz
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC713 E Marion Ave Ste 147, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2070446

Millennium Physician Group LLC · Punta Gorda, FL
Active · expires Dec 16, 2027
CLIA Number10D2070446
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorHannah L. James
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC25098 Olympia Ave Ste 400, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2293975

Millennium Physician Group, LLC · Punta Gorda, FL
Active · expires Nov 16, 2027
CLIA Number10D2293975
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorViatko Salopek
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC2310 Tamiami Trail Suite 2101, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2173907

Millennium Physician Group, LLC · Punta Gorda, FL
Active · expires Oct 21, 2027
CLIA Number10D2173907
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorFelipe Collares
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC315 E Olympia Ave Suite 213, Punta Gorda, FL 33950
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.

KIERSTA BORREGO DO
Internal Medicine
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
GISELLE ROSEL MD
Family Medicine
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
ERIK RICHARDSON DO
Family Medicine
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
DAVID HEBERTO DEL CASTILLO MSN, FNP-C
Nurse Practitioner (Family)
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
JANICE M CHUPKA PA
Physician Assistant
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
DR. ESTEVAN JAMES DEL CASTILLO MD
Family Medicine
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 639-1640
KIMBERLY RICHARDSON ARNP
Nurse Practitioner (Family)
315 E OLYMPIA AVE UNIT 111
PUNTA GORDA, FL 33950
Charlotte County (941) 205-2600

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 1326701319. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 315 E Olympia Ave Unit 111, Punta Gorda, FL 33950. The listed phone number is (941) 369-1640.

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. 11 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.