OrganizationActive
Healthy Minors LLC
NPI 1144766635 · Family Medicine Physician · Melbourne, FL
Provider details
- NPI number
- 1144766635
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Zachary Mandler, Director of Contracting(305) 890-7738
- License
- ME94933 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3800 W Eau Gallie Blvd Ste 105
Melbourne, FL 32934-3285
Phone: (904) 750-3385
Street-level locationGet directions
Mailing address
Po Box 3065
Houston, TX 77253-3065
Other names (DBA / former)
- Doing business as
- Healthy Minors
Additional practice locations (1)
- 6525 3rd StSuite 106Rockledge, FL 32955-5744Phone: (850) 766-2968
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.