Individual
DR. BASEM HALAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,DPM
Contact information
Practice address
13600 ICOT BLVD BLDG A, CLEARWATER, FL 33760-3703
(727) 796-6900
(727) 669-8417
Mailing address
12 N 7TH AVE, MOUNT VERNON, NY 10550-2026
(914) 361-6442
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4200
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2017
Last updated
12/14/2020
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