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

Millennium Provider Group, PA

Organization Family Medicine Physician · NPI 1972234417

Millennium Provider Group, PA is a Family Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773
Phone: (855) 674-7400
Fax: (855) 674-7401
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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

Record details

NPI number1972234417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chasity Chase — Market President · (855) 674-7400
Other names Millennium Healthcare
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address6321 Daniels Pkwy Ste 200, Fort Myers, FL 33912-4773

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