Mark W Minor, MD
Allergy & Immunology, Allergy in Melbourne, FL. Individual provider (NPI-1).
NPI number1982609657
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1982609657
- Entity type
- Individual (NPI-1)
- Name
- Mark W Minor
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | ME0045859 | FL | Yes |
Practice location
3021 W Eau Gallie Blvd Ste 102Melbourne, FL 32934-7005
Phone 321-757-5550 · Fax 321-255-5552
Mailing address
3021 W Eau Gallie Blvd Ste 102Melbourne, FL 32934-7005
Phone 321-757-5550 · Fax 321-255-5552
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