Provider Demographics
NPI:1326391350
Name:KUTIK, DON F (HEARING SPECIALIST)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:F
Last Name:KUTIK
Suffix:
Gender:M
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5791 RACEWAY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5444
Mailing Address - Country:US
Mailing Address - Phone:561-307-5005
Mailing Address - Fax:
Practice Address - Street 1:110 E MERRITT ISLAND CSWY
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3674
Practice Address - Country:US
Practice Address - Phone:321-449-0033
Practice Address - Fax:321-449-0012
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist