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Millenium Medical Management LLC

Neurological Surgery Physician in Melbourne, FL · enumerated 2007 · authorized official Sun Deukmedjian, Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366645376

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Registry record

Entity type Organization (Type 2)
Legal business name Millenium Medical Management LLC
Other name <Unavail>
Practice address 7955 Spyglass Hill Rd Ste A, Melbourne, FL, 32940
Phone (321) 255-6670
Fax (321) 242-2545
Enumeration date Jun 7, 2007
Last updated in NPPES Mar 30, 2026

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License ME82061 (FL) Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License OS12589 (FL) Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License ME111580 (FL) Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License ME93866 (FL) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License ME111580 (FL) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License ME93866 (FL) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License OS12589 (FL) Secondary
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License ME93866 (FL) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License ME111580 (FL) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License ME93866 (FL) Secondary
261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities · License IAC ACCREDITED 7422 (FL) Secondary

Authorized official

Name Sun Deukmedjian
Title Financial Officer
Phone (321) 775-1290

Other identifiers

Identifier Type State Issuer
33435 Other FL BCBSFL
3612958 Other FL AETNA
DG6510 Other FL MEDICARE RAILROAD CARRIER
613998300 Other FL DOL ASC
2921108 Other FL CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Millenium Medical Management LLC?
Millenium Medical Management LLC is registered in NPPES as a Neurological Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-30.