| Healthy Minors | |
|
3800 W Eau Gallie Blvd Ste 105 Melbourne FL 32934-3285 | |
| (904) 750-3385 | |
| Not Available |
| Full Name | Healthy Minors |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 W Eau Gallie Blvd Ste 105, Melbourne, Florida |
| Authorized Official Name and Position | Zachary Mandler (DIRECTOR OF CONTRACTING) |
| Authorized Official Contact | 3058907738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minors Po Box 3065 Houston TX 77253-3065 Ph: (321) 684-3003 | Healthy Minors 3800 W Eau Gallie Blvd Ste 105 Melbourne FL 32934-3285 Ph: (904) 750-3385 |
| NPI Number | 1144766635 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Medicare PECOS PAC ID | 7810489416 |
|---|---|
| Medicare Enrollment ID | O20251121000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144766635 | NPI | - | NPPES |
| 812681696 | Other | FL | BCBS 42055 |
| 812681696 | Other | FL | CAQH 11570023 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208000000X | Pediatrics | ME94933 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | ME94933 (Florida) | Secondary |
| Provider Name | Carole Neuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578525978 PECOS PAC ID: 3577699537 Enrollment ID: I20100329000883 |
| Provider Name | Michelle Attar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346867207 PECOS PAC ID: 2163848805 Enrollment ID: I20200812002575 |
| Provider Name | Phillip Ulyanovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821471665 PECOS PAC ID: 8325395403 Enrollment ID: I20240313001180 |
| Provider Name | Martina Lynette Burden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558060871 PECOS PAC ID: 5496275612 Enrollment ID: I20250411001425 |
| Provider Name | Oluyemisi Adeola Sonoiki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841201753 PECOS PAC ID: 8729570320 Enrollment ID: I20251122001153 |
| Provider Name | Maria Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366429011 PECOS PAC ID: 8022200773 Enrollment ID: I20260520001763 |
Donald H. Dehaven MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8057 Spyglass Hill Rd, Unit 104, Melbourne, FL 32940 Phone: 321-622-8943 Fax: 321-622-8945 |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935 Phone: 321-253-0646 Fax: 321-253-1004 |
Crane Creek Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-725-5050 Fax: 321-725-9100 |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-253-0846 Fax: 321-253-1004 |
Sarno Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-952-9696 Fax: 321-952-7937 |
First Locums Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3248 Cortona Dr, Melbourne, FL 32940 Phone: 321-735-8301 Fax: 321-735-8301 |