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

Phy-Med Millenium Medical Lc

Organization Surgery Physician · NPI 1396787024

Phy-Med Millenium Medical Lc is a Surgery Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

351 NW 42nd Ave Ste 103
Miami, FL 33126-5683
Phone: (305) 642-1246
Fax: (305) 631-1419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME 29633 (FL)

Record details

NPI number1396787024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo Leon — Medical Director · (305) 642-1246
NPI enumeratedJune 10, 2006
Last updated in NPPESJuly 11, 2007
Mailing address7100 Pines Blvd, Suite 23, Pembroke Pines, FL 33024-7355

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