Organization
MARK MINOR MD PA
Active
Other names
Minor Allergy in Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W MINOR MD (PRESIDENT)
(321) 757-5550
Entity
Organization
Contact information
Practice address
3021 W EAU GALLIE BLVD STE 102, MELBOURNE, FL 32934-7005
(321) 757-5550
(321) 255-5552
Mailing address
3021 W EAU GALLIE BLVD STE 102, MELBOURNE, FL 32934-7005
(321) 757-5550
(321) 255-5552
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
03/19/2025
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