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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1467115436
Family Medicine in Cape Coral, FL

Active since October 18, 2021CLIA Certified · 5 labs
126 DEL PRADO BLVD N STE 104, CAPE CORAL, FL 33909(239) 573-1606(239) 573-1044 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 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 1467115436) is a healthcare organization registered as a family medicine in Cape Coral, Florida and active in the NPI registry since October 2021. The organization holds 5 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1467115436
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address126 DEL PRADO BLVD N STE 104Cape Coral, FL 33909-2713
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(239) 573-1606
Fax(239) 573-1044
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 1467115436 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.
126 DEL PRADO BLVD N STE 104, Cape Coral, FL 33909
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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 5

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 10D2031277

Millennium Physician Group LLC Cc Del Prado · Cape Coral, FL
Active · expires Oct 16, 2027
CLIA Number10D2031277
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorRichard J. Torricelli
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group LLC Cc Del Prado126 Del Prado Blvd N Ste 104, Cape Coral, FL 33909
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0682223

Millennium Physician Group · Cape Coral, FL
Active · expires Aug 31, 2028
CLIA Number10D0682223
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGeorge M. Mestas
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group3571 Del Prado Blvd, Cape Coral, FL 33909
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1065469

Millennium Physician Group, LLC · Cape Coral, FL
Active · expires Feb 28, 2027
CLIA Number10D1065469
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorHarry Drimoussis
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC126 Del Prado Blvd N Ste 102, Cape Coral, FL 33909
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2318829

Millennium Physician Group LLC · Cape Coral, FL
Active · expires Feb 18, 2027
CLIA Number10D2318829
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorMichael R. Mcdowell
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC339 SW 10th Place, Suite 112, Cape Coral, FL 33991
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2313217

Millennium Physician Group, LLC · Cape Coral, FL
Active · expires Oct 27, 2026
CLIA Number10D2313217
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorJerry Lanza
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC126 Del Prado Blvd - Ste 103, Cape Coral, FL 33909
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 2

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

DEETTA L DEPIRO APRN
Nurse Practitioner (Gerontology)
126 DEL PRADO BLVD N STE 104
CAPE CORAL, FL 33909
Lee County (239) 573-1606
ANGELA VALLEJO PA-C
Physician Assistant
126 DEL PRADO BLVD N STE 104
CAPE CORAL, FL 33909
Lee County (239) 573-1606

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 1467115436. 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 126 Del Prado Blvd N Ste 104, Cape Coral, FL 33909. The listed phone number is (239) 573-1606.

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. 5 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.