Individual
DR. STEVEN T DEKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD # 100236, GAINESVILLE, FL 32610-0001
(352) 265-8408
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101029518
VA
2084N0400X
Neurology Physician
Primary
MFC1788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001198310
—
PA
05
—
021963700
—
FL
05
—
1811960065
—
VA
Enumeration date
02/08/2006
Last updated
11/21/2017
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