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Organization

MILLENNIUM PHYSICIAN GROUP LLC

Active
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Organization

MILLENNIUM PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY HALTIGAN (DIRECTOR OF REVENUE CYCLE)
(877) 856-3774
Entity
Organization

Contact information

Practice address
800 GOODLETTE RD STE 205, NAPLES, FL 34102-5408
(239) 315-7538
(239) 315-7539
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/18/2021
Last updated
01/19/2023
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