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NPI Code Detail

MEDICARE: MARK B DEKUTOSKI MD

MEDICARE:   MARK B DEKUTOSKI  MD
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
1207X00000XOrthopaedic Surgery PhysicianME145588FL
2207XS0117XOrthopaedic Surgery of the Spine PhysicianME145588FL

General Provider Information

NPI Number : 1386622348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK B DEKUTOSKI MD
Provider Business Mailing Address
First Line : 320 HARBOR BLVD UNIT 1205
Second Line :
City : DESTIN
State : FL
Zip : 32541-7331
Country : US
Telephone Number : 507-319-4415
Fax Number :
Provider Business Practice Location Address
First Line : 320 HARBOR BLVD UNIT 1205
Second Line :
City : DESTIN
State : FL
Zip : 32541-7331
Country : US
Telephone Number : 507-319-4415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 04/12/2026

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Directions to “ MARK B DEKUTOSKI MD” Practice Location

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