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MILLENNIUM PHYSICIAN GROUP LLC
NPI 1952073546
Family Medicine in Saint Petersburg, FL

Active since October 01, 2021CLIA Certified · 3 labs
2299 9TH AVE N STE 1A, SAINT PETERSBURG, FL 33713(727) 655-9854(727) 592-2194 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Oct 1, 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 1952073546) is a healthcare organization registered as a family medicine in Saint Petersburg, 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

NPI1952073546
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP LLC
Location Address2299 9TH AVE N STE 1ASaint Petersburg, FL 33713-6851
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(727) 655-9854
Fax(727) 592-2194
Organization SubpartNo
Authorized OfficialMary HaltiganDirector Of Revenue Cycle · (877) 856-3774
Enumeration DateOctober 1, 2021
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1952073546 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.
2299 9TH AVE N STE 1A, Saint Petersburg, FL 33713
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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 10D2175305

Millennium Physician Group LLC · Saint Petersburg, FL
Active · expires Nov 18, 2027
CLIA Number10D2175305
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorRyan L. Baker
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC2299 9th Ave N - Suite 1A, Saint Petersburg, FL 33713
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1104443

Millennium Physician Group, LLC · Saint Petersburg, FL
Active · expires Sep 2, 2027
CLIA Number10D1104443
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorYuanil Airam A. Hernandez Torres
Laboratory Phone(727) 577-0285
Laboratory LocationMillennium Physician Group, LLC12450 Roosevelt Blvd North Suite 308, Saint Petersburg, FL 33716
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1091017

Millennium Physician Group, LLC · Saint Petersburg, FL
Active · expires Oct 22, 2026
CLIA Number10D1091017
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorRoberto E. Borrero Lugo
Laboratory Phone(727) 345-6337
Laboratory LocationMillennium Physician Group, LLC1615 Pasadena Ave S - Ste 350, Saint Petersburg, FL 33707
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 3

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

BAYSHORE HEALTH AND WELLNESS, LLC
Family Medicine
2299 9TH AVE N STE 1A
ST PETERSBURG, FL 33713
Pinellas County (813) 298-6545
DR. RYAN L BAKER M.D.
Family Medicine
2299 9TH AVE N STE 1A
ST PETERSBURG, FL 33713
Pinellas County (727) 655-9854
TIA SCHLACHTER
Physician Assistant
2299 9TH AVE N STE 1A
SAINT PETERSBURG, FL 33713
Pinellas County (727) 655-9854

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 1952073546. 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 2299 9th Ave N Ste 1A, Saint Petersburg, FL 33713. The listed phone number is (727) 655-9854.

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 19, 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.