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MILLENNIUM PHYSICIAN GROUP, LLC
NPI 1982377008
Family Medicine in Avon Park, FL

Active since July 26, 2021CLIA Certified · 2 labs
1659 US HIGHWAY 27 N UNIT 102, AVON PARK, FL 33825(863) 657-0710(863) 657-0711 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Jul 26, 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 1982377008) is a healthcare organization registered as a family medicine in Avon Park, Florida and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Mary Haltigan, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1982377008
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILLENNIUM PHYSICIAN GROUP, LLC
Location Address1659 US HIGHWAY 27 N UNIT 102Avon Park, FL 33825-2106
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Phone(863) 657-0710
Fax(863) 657-0711
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 1982377008 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.
1659 US HIGHWAY 27 N UNIT 102, Avon Park, FL 33825
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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 2

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 10D2145178

Millennium Physician Group · Avon Park, FL
Active · expires Mar 1, 2028
CLIA Number10D2145178
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorSunaina Khurana
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group1659 Us 27 North, Avon Park, FL 33825
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1008362

Millennium Physician Group, LLC · Avon Park, FL
Active · expires Jan 20, 2027
CLIA Number10D1008362
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorPrixit Sharma
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC1005 W Circle St, Avon Park, FL 33825
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 4

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

SASHA ARBONA ROMAN
Nurse Practitioner (Primary Care)
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL 33825
Highlands County (863) 657-0710
KELLY CARPENTER APRN
Nurse Practitioner (Family)
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL 33825
Highlands County (863) 657-0710
NORISSA HOWARD APRN
Nurse Practitioner (Family)
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL 33825
Highlands County (863) 657-0710
SUNAINA KHURANA MD
Family Medicine
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL 33825
Highlands County (863) 657-0710

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 1982377008. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Millennium Physician Group, LLC located?

Millennium Physician Group, LLC is located at 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825. The listed phone number is (863) 657-0710.

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. 2 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.