Marvin Charles Dieujuste, MD
Family Medicine in Winter Haven, FL. Individual provider (NPI-1).
NPI number1053940239
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1053940239
- Entity type
- Individual (NPI-1)
- Name
- Marvin Charles Dieujuste
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2020
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME154571 | FL | Yes |
Practice location
1201 1st St S Ste 100aWinter Haven, FL 33880-3904
Phone 863-280-6080
Mailing address
1201 1st St S Ste 100aWinter Haven, FL 33880-3904
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