Individual
DR. MARK F. HALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
660 EXECUTIVE PARK CT, STE 1600, APOPKA, FL 32703-6045
(407) 774-4433
(407) 774-8475
Mailing address
660 EXECUTIVE PARK CT, STE 1600, APOPKA, FL 32703-6045
(407) 774-4433
(407) 774-8475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0012703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593259599
FEDERAL TAX ID
FL
Enumeration date
12/13/2006
Last updated
07/27/2011
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