NPI 1528604253
Mark Minor MD PA
Practice location
- Address
- 3021 W Eau Gallie Blvd STE 102, Melbourne, FL 32934-7005
- Phone
- (321) 757-5550
- Fax
- (321) 255-5552
Authorised official
- Name
- Mark W Minor
- Title
- President
- Phone
- (321) 757-5550
Registered specialties
Allergy Physician
Primary
Registry record
- NPI
- 1528604253
- Entity type
- Organization
- NPI issued
- 18 Nov 2019
- Record last updated
- 19 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.