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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1396408373
Family Medicine in Fort Myers, FL

Active since October 18, 2021
13214 PALM BEACH BLVD, FORT MYERS, FL 33905(239) 694-7887(239) 694-8941 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 1396408373) is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since October 2021. The organization lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1396408373
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address13214 PALM BEACH BLVDFort Myers, FL 33905-2025
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(239) 694-7887
Fax(239) 694-8941
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 1396408373 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.
13214 PALM BEACH BLVD, Fort Myers, FL 33905
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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 ›

Other Providers at the Same Location NPPES 10

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

JONI RENEE KELLAMS
Nurse Practitioner (Family)
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
MS. CARMEN MARIA FERNANDEZ D.O
Family Medicine
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
TANYA M MILLER ARNP
Nurse Practitioner (Adult Health)
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
VERONICA MILLS PA-C
Physician Assistant
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
JUAN DIAZ PA
Physician Assistant
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
STEVEN D MITNICK ARNP
Nurse Practitioner
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
MATTHEW SHAVER PA-C
Physician Assistant
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887
JESSICA P TREISE APRN
Nurse Practitioner (Family)
13214 PALM BEACH BLVD
FORT MYERS, FL 33905
Lee County (239) 694-7887

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 1396408373. 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 13214 Palm Beach Blvd, Fort Myers, FL 33905. The listed phone number is (239) 694-7887.

What is Millennium Physician Group LLC's specialty?

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

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.