Provider Demographics
NPI:1932171147
Name:MILNER, MARK STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:STEVEN
Last Name:MILNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 KYOTO GARDENS DR STE B
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2899
Mailing Address - Country:US
Mailing Address - Phone:561-630-7120
Mailing Address - Fax:561-630-7122
Practice Address - Street 1:3502 KYOTO GARDENS DR STE B
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2899
Practice Address - Country:US
Practice Address - Phone:561-630-7120
Practice Address - Fax:561-630-7122
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033805207W00000X
FLME138918207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1338054Medicaid
CT1338054Medicaid
CT180000621Medicare ID - Type Unspecified