Provider Demographics
NPI:1891881520
Name:MILNER, FLOYD EUGENE (MS)
Entity type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:EUGENE
Last Name:MILNER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18841 SUMMERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-9416
Mailing Address - Country:US
Mailing Address - Phone:951-778-0181
Mailing Address - Fax:951-779-9818
Practice Address - Street 1:4440 BROCKTON AVE STE 210
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4026
Practice Address - Country:US
Practice Address - Phone:951-778-0181
Practice Address - Fax:951-779-9818
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU592231H00000X
CAHA1359237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0013590OtherMEDI-CAL
CAZZZ94902ZMedicare ID - Type Unspecified