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 1316319221

Millennium Physician Group LLC is a Family Medicine Physician in Bonita Springs, Florida. Registered with an NPI since 2015.

In the registry since
2015
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

9500 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4679
Phone: (239) 498-9294
Fax: (239) 498-7179
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1316319221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Haltigan — Business Operations Manager · (877) 856-3774
NPI enumeratedOctober 30, 2015
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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