Individual
DR. MARK S OKONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-5011
(814) 272-6531
Mailing address
13440 BLUE BAY CIR, FORT MYERS, FL 33913-8761
(239) 209-0664
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
71344
TN
207RG0100X
Gastroenterology Physician
Primary
MD488012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054473600
—
FL
01
—
12412
BLUE CROSS BLUE SHIELD
FL
01
—
P00232929
RR MEDICARE
FL
Enumeration date
08/22/2005
Last updated
11/03/2025
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