Provider Demographics
NPI:1134590565
Name:VICTOR C APEL DMD
Entity type:Organization
Organization Name:VICTOR C APEL DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:APEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-727-1320
Mailing Address - Street 1:1514 S BABCOCK ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3034
Mailing Address - Country:US
Mailing Address - Phone:321-727-1320
Mailing Address - Fax:321-727-8474
Practice Address - Street 1:1514 S BABCOCK ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3034
Practice Address - Country:US
Practice Address - Phone:321-727-1320
Practice Address - Fax:321-727-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0010431261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental