# NOVA MILLENNIUM HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689987190
- **Authorized official:** BENJAMIN F BATES (CEO)
- **Authorized official phone:** (850) 572-9631

## Contact information

- **Practice address:** 312 W BLOUNT ST, PENSACOLA, FL 32501-2026
- **Practice address phone:** (850) 572-9631
- **Mailing address:** 312 W BLOUNT ST, PENSACOLA, FL 32501-2026
- **Mailing address phone:** (850) 572-9631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010