Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MILLENNIUM PHYSICIAN GROUP LLC
Active
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
2561 OAK ST, JACKSONVILLE, FL 32204-4559
(904) 384-6009
(904) 384-5354
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC835A
MEDICARE
FL
Enumeration date
10/13/2021
Last updated
01/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up