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MARK W MINOR M.D.

Allergy

Melbourne, Florida

Provider NPI: 1982609657

Provider Information:
 MARK W MINOR M.D.


Practice Location:
2290 W EAU GALLIE BLVD STE 205 MELBOURNE, FL 32935 US
Tel: 321-757-5550  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
FLME0045859

Other Provider Identifiers:

IssuerNumberStateType
CIGNA1762243003FL01
AETNA4038851FL01
BCBS26075FL01
HUMANA CHOICECARE000015597-HFL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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