Individual
MR. DAVID WAYNE KUTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
016762
LA
208D00000X
General Practice Physician
016762
LA
208D00000X
General Practice Physician
14273
AZ
208D00000X
General Practice Physician
200300056
NC
208D00000X
General Practice Physician
22628
OK
208D00000X
General Practice Physician
ME0042452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0042452
FL STATE MEDICAL LICENSE
FL
Enumeration date
01/20/2006
Last updated
06/24/2025
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