OrganizationActive
Millennium Physician Group LLC
NPI 1275971764 · Family Medicine Physician · Fort Myers, FL
Provider details
- NPI number
- 1275971764
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Haltigan, Director Revenue Cycle Management(877) 856-3774
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6321 Daniels Pkwy
Ste 201
Fort Myers, FL 33912-4773
Phone: (855) 674-7401
Fax: (941) 258-3292
Approximate (ZIP-level) locationGet directions
Mailing address
2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2023-01-18
- Certified
- 2023-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.