MARK MINOR MD PA NPI 1528604253

NPI Information

  • NPI: 1528604253
  • Provider Name: MARK MINOR MD PA
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • :
  • Address: 3021 W EAU GALLIE BLVD STE 102
    MELBOURNE, FL
    ZIP 32934
  • Phone: (321) 757-5550

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NPI Details

MARK MINOR MD PA is an allergy allergy immunology in Melbourne, FL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee MARK MINOR MD PA NPI is 1528604253. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

3021 W EAU GALLIE BLVD STE 102
MELBOURNE, FL
ZIP 32934-005
Phone: (321) 757-5550
Fax: (321) 255-5552

The provider's authorized official is Mark W Minor .
The authorized official title is President and has the following contact phone number (321) 757-5550.

The enumeration date for this NPI number is 11/18/2019 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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