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Organization
MILLENNIUM PROVIDER GROUP, P.A.
Active
Organization
MILLENNIUM PROVIDER GROUP, P.A.
Active
Other names
Millennium Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY CHASE (MARKET PRESIDENT)
(855) 674-7400
Entity
Organization
Contact information
Practice address
6321 DANIELS PKWY STE 200, FORT MYERS, FL 33912-4773
(855) 674-7400
(855) 674-7401
Mailing address
6321 DANIELS PKWY STE 200, FORT MYERS, FL 33912-4773
(855) 674-7400
(855) 674-7401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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