Mark W Minor is a Allergy in Melbourne, Florida. Mark W Minor practices all healthcare services and medical treatments related to Allergy. The NPI Number for Mark W Minor is 1982609657. The last update date is 2015-11-10.
Mark W Minor's current location address is 2290 W Eau Gallie Blvd, Melbourne, Florida. You can contact this provider via phone number 3217575550 and fax number 3212555552. The mailing address for Mark W Minor is 2290 W Eau Gallie Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Minor |
|---|---|
| Address | 2290 W Eau Gallie Blvd, Melbourne, Florida |
| Phone Number | 3217575550 |
| Fax Number | 3212555552 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982609657 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2015-11-10 |
Provider Mailing Address Detail
| Address | 2290 W Eau Gallie Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 3293531330 |
| Phone Number | 3217575550 |
| Fax Number | 3212555552 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | ME0045859 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4038851 | FL | AETNA | |
| 26075 | FL | BCBS | |
| 000015597-H | FL | HUMANA CHOICECARE | |
| 1762243003 | FL | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark W Minor by the Centers for Medicare & Medicaid Services?
The Mark W Minor has been assigned the NPI (National Provider Identifier) 1982609657 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark W Minor is geographically located?
The Mark W Minor is physically situated at the following location: 2290 W Eau Gallie Blvd, Melbourne, FL, 3293531330.
What is Mark W Minor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark W Minor is Allergy, and the taxonomy classification code that categorizes this area of expertise is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982609657 to Mark W Minor?
The Mark W Minor received its 1982609657 assignment from the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date were the Mark W Minor's details last updated?
The information pertaining to the Mark W Minor, including its address, specialty, and other details, was most recently updated on 2015-11-10.