Individual
MARK B DEKUTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 HARBOR BLVD UNIT 1205, DESTIN, FL 32541-7331
(507) 319-4415
Mailing address
320 HARBOR BLVD UNIT 1205, DESTIN, FL 32541-7331
(507) 319-4415
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME145588
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME145588
FL
Other
Enumeration date
01/09/2006
Last updated
04/12/2026
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