Healthy Minors LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHY MINORS LLC

Practice address

3800 W Eau Gallie Blvd Ste 105
Melbourne, FL 32934-3285

Phone

(904) 750-3385

NPI assigned

Jan 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zachary Mandler

Title

Director of Contracting

Phone

(305) 890-7738

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Healthy Minors Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16084/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluyemisi Adeola Sonoiki, M.D.

  • Pediatrics Physician
  • Rockledge, FL
  • NPI 1841201753
  Medicare reassignment NPD
• Phillip Ulyanovskiy, M.D.

  • Family Medicine Physician
  • Richmond Hill, NY
  • NPI 1821471665

  FL

  Medicare reassignment NPD (past)
• Michelle Ivy Attar, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1346867207
  Medicare reassignment
• Martina Lynette Burden, A-GAPRN-C

  • Gerontology Nurse Practitioner
  • Melbourne, FL
  • NPI 1558060871
  Medicare reassignment
• Carole L. Neuman, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1578525978
  Medicare reassignment
• Maria Lisa O'Brien, M.D.

  • Family Medicine Physician
  • Leonardtown, MD
  • NPI 1366429011

  FL

  Medicare reassignment
• Tiffany Benson, APRN

  • Family Nurse Practitioner
  • Sebastian, FL
  • NPI 1356819478
  NPD (past)
• Christa J Kovachevich, ARNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Cheyenne, WY
  • NPI 1649642034
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1144766635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3065",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533065",
            "telephone_number": "321-684-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W EAU GALLIE BLVD STE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343285",
            "telephone_number": "904-750-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 3rd St",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555744",
            "country_code": "US",
            "telephone_number": "850-766-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY MINORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "MANDLER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "305-890-7738"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME94933",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME94933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 42055",
            "identifier": "812681696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH 11570023",
            "identifier": "812681696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.