MARK W MINOR (NPI# 1982609657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982609657 |
| Entity Type | Individual |
| Full Name | MARK W MINOR |
| Credential | M.D. |
| Practice Address |
2290 W Eau Gallie Blvd Ste 205 Melbourne FL 32935-3133 |
| Practice Telephone | 3217575550 |
| Practice Fax Number | 3212555552 |
| Mailing Telephone | 3217575550 |
| Mailing Fax Number | 3212555552 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
ME0045859 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1762243003 | 01 |
| FL | AETNA | 4038851 | 01 |
| FL | BCBS | 26075 | 01 |
| FL | HUMANA CHOICECARE | 000015597-H | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689930737 | Mark E Minor | Pediatrics | 1 Childrens Plz, Dayton, OH 45404 | 2012-04-03 |
| 1720130107 | Mark R Minor | Family Medicine | 820 Bryan St, Suite 3, Huntingdon, PA 16652-2409 | 2007-01-17 |
| Street Address |
2290 W EAU GALLIE BLVD STE 205 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992128508 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 | 2014-02-03 |
| 1619104114 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 | 2009-06-11 |
| 1821230855 | Melissa A. Studebaker | Nurse Practitioner | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3133 | 2009-04-06 |
| 1184805491 | Coastline Imaging Inc | Specialist | 2290 W Eau Gallie Blvd, Suite 108, Melbourne, FL 32935-3133 | 2007-11-15 |
| 1962505016 | David R Feldman | Radiology | 2290 W Eau Gallie Blvd, Suite 104, Melbourne, FL 32935-3133 | 2006-09-06 |
| 1740290436 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 108, Melbourne, FL 32935-3133 | 2006-08-08 |
| 1164432662 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3133 | 2006-08-08 |
| 1730198771 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 205, Melbourne, FL 32935-3133 | 2006-08-07 |
| 1467485946 | Ervin Szoke | Internal Medicine | 2290 W Eau Gallie Blvd, Suite 100, Melbourne, FL 32935-3133 | 2006-07-08 |
| 1801853171 | Sumeet Chandra | Internal Medicine | 2290 W Eau Gallie Blvd, Ste 202, Melbourne, FL 32935-3145 | 2006-04-28 |
| Find all providers in the same location | ||||
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992795 | Phillip W Devoe | Allergy & Immunology | 1515 Airport Blvd, Melbourne, FL 32901-2946 | 2005-06-16 |
| 1003033465 | Phillip W Devoe Md Pa | Allergy & Immunology | 1515 Airport Blvd, Melbourne, FL 32901-2946 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133827 | Hugo Mcfarlane | Allergy & Immunology | 912 Se 6th St, Ft Lauderdale, FL 33301-3010 | 2020-01-07 |
| 1376069310 | Db Health Specialties Inc | Allergy & Immunology | 2455 Hollywood Blvd Ste 103, Hollywood, FL 33020-6605 | 2017-08-22 |
| 1578943171 | Yoomie Jane Lee | Allergy & Immunology | 7411 Miami Lakes Dr, Miami Lakes, FL 33014 | 2015-06-09 |
| 1265824387 | Jordyco Diagnostics LLC | Allergy & Immunology | 3915 Biscayne Blvd Ste 301, Miami, FL 33137-3730 | 2015-02-26 |
| 1780004481 | William Wood | Allergy & Immunology | 100 Worth Ave Apt 601, Palm Beach, FL 33480-4465 | 2014-04-21 |
| 1740555952 | Ari Yisrael Zelig | Allergy & Immunology | 7800 Sw 87th Ave Ste C-340, Miami, FL 33173-3570 | 2012-03-21 |
| 1538432190 | Brian Christopher Reed | Allergy & Immunology | 4343 Newberry Rd Ste 1, Gainesville, FL 32607 | 2012-02-13 |
| 1700159340 | Jeannette G Warner Md Pa | Allergy & Immunology | 1270 Malabar Rd Se Ste 1, Palm Bay, FL 32907-3407 | 2012-02-13 |
| 1588800171 | Stephen M Robbins | Allergy & Immunology | 504 Marsh Creek Rd, Venice, FL 34292-5308 | 2009-01-02 |
| 1174786149 | Health From Inside Out | Allergy & Immunology | 950 N Federal Hwy Ste 115, Pompano Beach, FL 33062-4314 | 2008-07-09 |
| 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.