Provider Demographics
NPI:1043322779
Name:MILNES, MARCUS DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:DAVID
Last Name:MILNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 SUNSET POINT RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1438
Mailing Address - Country:US
Mailing Address - Phone:727-712-8900
Mailing Address - Fax:727-683-9863
Practice Address - Street 1:2329 SUNSET POINT RD STE 204
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765
Practice Address - Country:US
Practice Address - Phone:727-712-8900
Practice Address - Fax:727-683-9863
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor