Provider Demographics
NPI:1790980209
Name:MILLNER, CARL EVANS (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:EVANS
Last Name:MILLNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8390 CHAMPIONS GATE BLVD
Mailing Address - Street 2:STE 215
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8310
Mailing Address - Country:US
Mailing Address - Phone:321-401-1364
Mailing Address - Fax:407-390-1765
Practice Address - Street 1:99 NORTH LA CIENEGA BLVD
Practice Address - Street 2:STE 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2285
Practice Address - Country:US
Practice Address - Phone:310-657-9353
Practice Address - Fax:310-657-9367
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2016-11-10
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Provider Licenses
StateLicense IDTaxonomies
CAG81910207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine