| NPI | 1629585906 |
|---|---|
| Doing Business As | MILLENIUM MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAMARYS SUAREZ Administrator 305-613-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA64254) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL ARNP9227984) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-09-09 |