Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Millennium Physician Group LLC

Organization Family Medicine Physician · NPI 1275971764

Millennium Physician Group LLC is a Family Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6321 Daniels Pkwy Ste 201
Fort Myers, FL 33912-4773
Phone: (855) 674-7401
Fax: (941) 258-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X

Record details

NPI number1275971764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Haltigan — Director Revenue Cycle Management · (877) 856-3774
NPI enumeratedJune 6, 2013
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

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