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 1811122880

Millennium Physician Group LLC is a Family Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
4
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
Fort Myers, FL 33912-4773
Phone: (877) 856-3774
Fax: (239) 599-2612
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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
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1811122880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Haltigan — Director Revenue Cycle Mngmt · (877) 856-3774
NPI enumeratedMay 20, 2009
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

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