Mark Minor MD PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

MARK MINOR MD PA

Practice address

3021 W Eau Gallie Blvd Ste 102
Melbourne, FL 32934-7005

Phone

(321) 757-5550

Fax

(321) 255-5552

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Mark W Minor, MD

Title

President

Phone

(321) 757-5550

Specialties & licenses 1

Addresses

Other names 1

• Minor Allergy in Brevard Doing business as

Locations

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1528604253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 W EAU GALLIE BLVD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347005",
            "telephone_number": "321-757-5550",
            "fax_number": "321-255-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 W EAU GALLIE BLVD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347005",
            "telephone_number": "321-757-5550",
            "fax_number": "321-255-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MINOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-757-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minor Allergy in Brevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret C Rank MD PA
• Susan Maricle
• Marilyn C. Moss, M.D.
• Mark a. Rosanova, M.D., LTD.
• Mark C. Dillon, M.D. PLLC
• James A Markle, O.D.
• Heather Rebecca Markow, ARNP
• Diane M Marn
• Matthew L Marold, APRN
• Madeleine Claire Maroney, BA

• Allergy Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.