MEDICARE: MINA ABDELMALEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN31839	FL

General Provider Information

NPI Number	:	1467381509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINA ABDELMALEK

Provider Business Mailing Address
First Line	:	26906 HAVERHILL DR
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33559-8513
Country	:	US
Telephone Number	:	727-301-9228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 US HIGHWAY 27 S
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-4920
Country	:	US
Telephone Number	:	863-247-2951
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	06/10/2026

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Directions to “ MINA ABDELMALEK ” Practice Location

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