Individual
MARK W MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
ME0045859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1762243003
CIGNA
FL
01
—
26075
BCBS
FL
01
—
4038851
AETNA
FL
Enumeration date
06/17/2005
Last updated
03/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us