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 1518639665

Millennium Physician Group LLC provides Family Medicine Physician services in Tampa, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

15416 N Florida Ave
Tampa, FL 33613-1244
Phone: (813) 723-5450
Fax: (813) 723-5451
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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 number1518639665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Haltigan — Director Of Revenue Cycle · (877) 856-3774
NPI enumeratedSeptember 28, 2021
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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