Minor, Mark W

Minor, Mark W is an individual health care provider with primary practice located at 2290 W Eau Gallie Blvd Ste 205, Melbourne FL 32935-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Minor, Mark W can be contacted via phone (321) 757-5550.

Contact Information

Primary practice address
2290 W Eau Gallie Blvd Ste 205 Melbourne FL 32935-3133
Phone: (321) 757-5550
Fax: (321) 255-5552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME0045859 Florida

Profile Details

NPI number 1982609657
LBN Legal business name Minor, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Nov 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982609657 NPPES
Florida Other 4038851 AETNA
Florida Other 26075 AETNA
Florida Other 000015597-H AETNA
Florida Other 1762243003 AETNA

Popular Providers