Millenium Medical Group Corp.

LBN: Millenium Medical Group Corp.
Millenium Medical Group Corp. is an health care organization with primary practice located at 2720 Sw 97Th Ave Ste C105 , Miami FL 33165-2677. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Millenium Medical Group Corp. can be contacted via phone (786) 332-4330, or through Cruz, Gabriela via phone (786) 332-4330.

Contact Information

Primary practice address
2720 Sw 97Th Ave Ste C105 Miami FL 33165-2677
Phone: (786) 332-4330
Fax: (786) 332-4109
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Gabriela
Phone: (786) 332-4330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1093287377
LBN Legal business name Millenium Medical Group Corp.
DBA Doing business as
Authorized official Cruz, Gabriela
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2018
Last updated Dec 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093287377 NPPES
Florida MEDICAID 023735400

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