NPI | 1104132166 |
---|---|
Doing Business As | MILLENNIUM PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | DANIEL E. DOSORETZ CEO/President 239-931-7277 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2010-08-27 |
Last Update Date | 2010-08-27 |