MARK MINOR MD PA (NPI# 1528604253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528604253 |
| Entity Type | Organization |
| Organization Name | MARK MINOR MD PA |
| Practice Address |
2290 W Eau Gallie Blvd Ste 205 Melbourne FL 32935-3145 |
| Practice Telephone | 3217575550 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | MARK MINOR (PRESIDENT) |
| Authorized Official Telephone | 3217575550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
2290 W EAU GALLIE BLVD STE 205 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154563997 | Stephen Michael Garramone | Allergy & Immunology | 1073 Old Millpond Rd, Melbourne, FL 32940-6886 | 2009-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419876 | North Star Allergy, Asthma, & Immunology, P.a. | Allergy & Immunology | 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 | 2020-02-18 |
| 1194366963 | Ami Degala, Pllc | Allergy & Immunology | 40 Forest Ct, Palm Harbor, FL 34683-3811 | 2019-10-03 |
| 1407408586 | Priya Ahya | Allergy & Immunology | 817 S University Dr Ste 106, Plantation, FL 33324-3345 | 2019-07-10 |
| 1770143729 | Melissa Michelle Swertfeger | Allergy & Immunology | 6233 66th St N, Pinellas Park, FL 33781-5025 | 2019-06-20 |
| 1235612771 | Luis Enrique Morera | Allergy & Immunology | 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 | 2018-09-11 |
| 1215417191 | Allergy, Asthma and Immunology Specialists, LLC | Allergy & Immunology | 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 | 2018-08-20 |
| 1811475213 | Juan Guillermo Angel | Allergy & Immunology | 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 | 2018-07-30 |
| 1831682814 | Lake Allergy, Asthma and Immunology, Pa | Allergy & Immunology | 1822 Salk Ave, Tavares, FL 32778-4300 | 2018-06-13 |
| 1194191346 | Jo Ridley LLC | Allergy & Immunology | 16372 Hibiscus Rd, Brooksville, FL 34601-4352 | 2015-08-11 |
| 1477964195 | Inessa Rachel Bachove | Allergy & Immunology | 3365 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4303 | 2014-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.