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Organization
HEALTHY MINORS LLC
Active
Organization
HEALTHY MINORS LLC
Active
Other names
Healthy Minors
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY MANDLER (DIRECTOR OF CONTRACTING)
(305) 890-7738
Entity
Organization
Contact information
Practice address
3800 W EAU GALLIE BLVD STE 105, MELBOURNE, FL 32934-3285
(904) 750-3385
Mailing address
PO BOX 3065, HOUSTON, TX 77253-3065
(321) 684-3003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
ME94933
FL
261QU0200X
Urgent Care Clinic/Center
ME94933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812681696
BCBS 42055
FL
Enumeration date
01/09/2017
Last updated
04/23/2026
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