Provider Demographics
NPI:1306538962
Name:MILLENIUM CLINIC INC
Entity type:Organization
Organization Name:MILLENIUM CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BATCHELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-0433
Mailing Address - Street 1:1152 N UNIVERSITY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5012
Mailing Address - Country:US
Mailing Address - Phone:954-639-7345
Mailing Address - Fax:954-639-7433
Practice Address - Street 1:1152 N UNIVERSITY DR STE 201
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-5012
Practice Address - Country:US
Practice Address - Phone:954-639-7345
Practice Address - Fax:954-639-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management