MILLENNIUM PHYSICIAN GROUP, LLC - NPI 1659044774 - Family Medicine in Arcadia, FL

Q: What is Millennium Physician Group, LLC's NPI number?

The NPI number for Millennium Physician Group, LLC is 1659044774. It was assigned to this organization in the NPPES registry on July 26, 2021.

Q: What is Millennium Physician Group, LLC's specialty?

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

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About Millennium Physician Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLENNIUM PHYSICIAN GROUP, LLC (NPI 1659044774) is a healthcare organization registered as a family medicine in Arcadia, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1659044774

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMILLENNIUM PHYSICIAN GROUP, LLC

Location Address830 N MILLS AVEArcadia, FL 34266-8780

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612

Phone(863) 494-6599

Fax(863) 494-5467

Organization SubpartNo

Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774

Enumeration DateJuly 26, 2021

Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1659044774 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.

830 N MILLS AVE, Arcadia, FL 34266

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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

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 10D2124342

Millennium Physician Group, LLC · Arcadia, FL

Active · expires Jan 12, 2027

CLIA Number10D2124342

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2025

Certificate Expiration DateJanuary 12, 2027

Laboratory DirectorStephen V. Piccione

Laboratory Phone(941) 787-7665

Laboratory LocationMillennium Physician Group, LLC830 N Mills Ave, Arcadia, FL 34266

CLIA data matches this NPI record on: Address 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.

SHERIF MOHAMED ZIHNI M.D.

Family Medicine