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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1508529595
Family Medicine in Venice, FL

Active since October 18, 2021CLIA Certified · 6 labs
1287 US HIGHWAY 41 BYP S, VENICE, FL 34285(941) 202-0500(941) 202-0501 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 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 1508529595) is a healthcare organization registered as a family medicine in Venice, Florida and active in the NPI registry since October 2021. The organization holds 6 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1508529595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address1287 US HIGHWAY 41 BYP SVenice, FL 34285-5545
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(941) 202-0500
Fax(941) 202-0501
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 1508529595 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.

1287 US HIGHWAY 41 BYP S, Venice, FL 34285
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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 6

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 10D2256713

Millennium Physician Group, LLC · Venice, FL
Active · expires Mar 27, 2028
CLIA Number10D2256713
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorRoberto Lopez
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC171 Center Rd Unit E, Venice, FL 34285
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1046277

Millennium Physician Group LLC · Venice, FL
Active · expires Oct 4, 2027
CLIA Number10D1046277
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorKeith P. Johnson
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC1370 E Venice Ave Ste 202, Venice, FL 34285
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2100746

Millennium Physician Group, LLC · Venice, FL
Active · expires Aug 20, 2027
CLIA Number10D2100746
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorDavid V. Taing
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC177 Center Rd, Venice, FL 34285
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2317652

Millennium Physician Group, LLC · Venice, FL
Active · expires Jan 28, 2027
CLIA Number10D2317652
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorKeith Johnson
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC1370 E Venice Ave - Ste 209, Venice, FL 34285
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0911137

Millennium Physician Group, LLC · Venice, FL
Active · expires Aug 7, 2026
CLIA Number10D0911137
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorBradley Hupp
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC901 Venetia Bay Blvd Ste 110, Venice, FL 34285
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2024592

Millennium Physician Group LLC · Venice, FL
Active · expires Aug 6, 2026
CLIA Number10D2024592
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorDr. Roberto Lopez
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC1287 Us Hwy 41 S Bypass, Venice, FL 34285
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.

MS. SUSAN JEAN DEBAUCHE BC-HIS
Hearing Instrument Specialist
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 257-0530
EAR-RESISTIBLE HEARING CENTER
Audiologist-Hearing Aid Fitter
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 257-0530
ARLENE SCARANO APRN
Nurse Practitioner
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 202-0500
NAGARAJAN DEVAR M.D.
Internal Medicine
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (419) 202-0500
WILLIAM E COGBURN MD
Internal Medicine
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 202-0500
WILLIAM F PHIFER MD
Internal Medicine
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 202-0500
THE CARDIOLOGY CENTER OF ENGLEWOOD
Internal Medicine (Cardiovascular Disease)
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 475-5621
DR. GINA DIANA LOMBARDO PAZ M.D
Family Medicine
1287 US HIGHWAY 41 BYP S
VENICE, FL 34285
Sarasota County (941) 202-0500

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 1508529595. 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 1287 Us Highway 41 Byp S, Venice, FL 34285. The listed phone number is (941) 202-0500.

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. 6 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 with the weekly NPPES data releases published by CMS.