Odel Ruano (NPI# 1659384147, PAC ID# 6002868221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1659384147 |
| PAC ID by PECOS | 6002868221 |
| Professional Enrollment ID | I20050216000485 |
| Full Name | Odel Ruano |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Address |
4881 Palm Beach Blvd Suite 100 Fort Myers FL 33905-3217 |
| Phone Number | 2396939191 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830244433 |
| Number of Group Practice Members | 532 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| Address | Phone | Organization |
|---|---|---|
| 3000 S Mccall Rd, Englewood, FL 34224-8616 | 9414069029 | MILLENNIUM PHYSICIAN GROUP LLC |
| 501 S Indiana Ave, Englewood, FL 34223-3765 | 9414606174 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13691 Metro Pkwy, Fort Myers, FL 33912-4348 | MILLENNIUM PHYSICIAN GROUP LLC | |
| 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 | 2396939191 | MILLENNIUM PHYSICIAN GROUP LLC |
| 400 8th St N, Naples, FL 34102-5519 | 2392615511 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13807 Tamiami Trl, Suite A, North Port, FL 34287-2069 | 9414264900 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13815 Tamiami Trl, North Port, FL 34287-2069 | 9414264900 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13823 Tamiami Trl, North Port, FL 34287-2069 | 9418880770 | MILLENNIUM PHYSICIAN GROUP LLC |
| 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 9412553535 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2315 Aaron St, Port Charlotte, FL 33952-5305 | 9416132222 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2335 Aaron St, Port Charlotte, FL 33952-5305 | 9417877665 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2343 Aaron St, Port Charlotte, FL 33952-5305 | 9416292900 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 | 9416242704 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2460 Tamiami Trl, Port Charlotte, FL 33952-3922 | 9412583294 | MILLENNIUM PHYSICIAN GROUP LLC |
| 150 W Mckenzie St, Suite 112, Punta Gorda, FL 33950-5500 | 9416216476 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1287 Us Hwy 41 Byp S, Venice, FL 34285-5545 | 9412020500 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | MILLENNIUM PHYSICIAN GROUP LLC |
| Physicians | 503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Hope Adler | Nurse Practitioner | Millennium Physician Group LLC | 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102 |
| Kalyani Regeti | Internal Medicine | Millennium Physician Group LLC | 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508 |
| Kevin J Ziegler | Physician Assistant | Millennium Physician Group LLC | 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 |
| Jennifer Azelton | Nurse Practitioner | Millennium Physician Group LLC | 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 |
| Marcanthony H Morgan | Nurse Practitioner | Millennium Physician Group LLC | 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698 |
| Lauren Blair Arcilla | Nurse Practitioner | Millennium Physician Group LLC | 830 N Mills Ave, Arcadia, FL 34266-8780 |
| Roxanne Denise Hooper | Nurse Practitioner | Millennium Physician Group LLC | 2335 Aaron St, Port Charlotte, FL 33952-5305 |
| Todd Marlowe | Nurse Practitioner | Millennium Physician Group LLC | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 |
| Nicholas Anton Shelley | Nurse Practitioner | Millennium Physician Group LLC | 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 |
| Margaret Desear | Nurse Practitioner | Millennium Physician Group LLC | 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113 |
| Street Address |
4881 PALM BEACH BLVD SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip | 33905-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aelle Jules Janvier | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Julio Rodriguez | Family Medicine | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Rafael Martinez | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Michelle Adams | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Ana Lizett Lopez | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Lina Rodriguez Balius | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 |
| Lisa A Joseph | Nurse Practitioner | Millennium Physician Group LLC | 4881 Palm Beach Blvd, Fort Myers, FL 33905-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Nacken Gugel | Clinical Psychologist | 13314 Island Rd, Fort Myers, FL 33905-1805 | |
| Abel Natali-lopez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Carmen Maria Fernandez | Family Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Julie Anne Chapman | Nurse Practitioner | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Euclides Manelik Marmolejos Baez | Internal Medicine | Millennium Physician Group LLC | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 |
| Jacqueline Bermudez | Chiropractic | 14042 Palm Beach Blvd, Fort Myers, FL 33905-2229 | |
| Eugene Usberghi | Family Medicine | 14651 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-2331 | |
| Diego D Sausa Jr. | Physical Therapy | 14630 Palm Beach Blvd, Suite 3, Fort Myers, FL 33905-2333 | |
| Rajan Kumar Sareen | Internal Medicine | 4801 Palm Beach Blvd, Fort Myers, FL 33905-3214 | |
| Francisco Maximo Vazquez | General Practice | 4595 Palm Beach Blvd, Suite 1, Fort Myers, FL 33905-3400 | |
| Find all physicians in zip 33905 | |||
| City | FORT MYERS |
| Zip Code | 33905 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORT MYERS + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.