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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1477225076
Family Medicine in Venice, FL

Active since October 01, 2021CLIA Certified · 3 labs
1700 E VENICE AVE, VENICE, FL 34292(941) 483-9760(941) 483-9775 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, Nov 2, 2022, Oct 1, 2021 (3 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 1477225076) is a healthcare organization registered as a family medicine in Venice, Florida and active in the NPI registry since October 2021. The organization holds 3 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1477225076
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address1700 E VENICE AVEVenice, FL 34292-3190
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(941) 483-9760
Fax(941) 483-9775
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 1, 2021
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1477225076 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.
1700 E VENICE AVE, Venice, FL 34292
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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 3

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 10D2096074

Millennium Physician Group, LLC · Venice, FL
Active · expires May 13, 2027
CLIA Number10D2096074
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorLaura Rainer
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC1700 E Venice Ave - Ste A, Venice, FL 34292
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2216840

Millennium Physician Group, LLC · Venice, FL
Active · expires Mar 15, 2027
CLIA Number10D2216840
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorMario Depinto
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC1700 E Venice Ave, Venice, FL 34292
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0981810

Millennium Physician Group, LLC · Venice, FL
Active · expires Jan 7, 2027
CLIA Number10D0981810
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorJeffrey Fraser
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC1720 E Venice Ave, Venice, FL 34292
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 20

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

GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9761
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Clinic/Center (Urgent Care)
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9760
LYLE WILLIAM GRENZ DC
Chiropractor
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9789
LINDA J MANGIONE-ALLISON P.A
Physician Assistant
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (877) 748-1114
MICHELLE EMILY FALLIS PA-C
Physician Assistant
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9760
DR. ANTHONY G. LYON M.D.
Family Medicine
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9760
SARAH M COURTNEY MSN, APRN, FNP
Nurse Practitioner (Family)
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9760
LISA CAMILLE BONIN PA-C
Physician Assistant
1700 E VENICE AVE
VENICE, FL 34292
Sarasota County (941) 483-9760

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 1477225076. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Millennium Physician Group LLC located?

Millennium Physician Group LLC is located at 1700 E Venice Ave, Venice, FL 34292. The listed phone number is (941) 483-9760.

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. 3 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.