| NPI | 1528604253 |
|---|---|
| Doing Business As | MINOR ALLERGY IN BREVARD |
| Entity Type | Organization |
| Authorized Contact | MARK W MINOR President 321-757-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-03-19 |