Provider Demographics
NPI:1205895372
Name:MILNE, DONALD WILLIAM (M D)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WILLIAM
Last Name:MILNE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MELLATHON CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9202
Mailing Address - Country:US
Mailing Address - Phone:301-792-6515
Mailing Address - Fax:352-787-5126
Practice Address - Street 1:4901 S VINELAND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-7300
Practice Address - Country:US
Practice Address - Phone:407-370-3272
Practice Address - Fax:407-370-3028
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91243207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273912700Medicaid
FL273912700Medicaid
E03978Medicare UPIN