Boukarrou, Latifa

Boukarrou, Latifa is an individual health care provider with primary practice located at 1651 Se Tiffany Ave Suite 101, Port Saint Lucie FL 34952-7564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Boukarrou, Latifa can be contacted via phone (772) 419-3810.

Contact Information

Primary practice address
1651 Se Tiffany Ave Suite 101 Port Saint Lucie FL 34952-7564
Phone: (772) 419-3810
Fax: (772) 419-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD449015 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME129352 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A156992 California

Profile Details

NPI number 1366769317
LBN Legal business name Boukarrou, Latifa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Feb 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366769317 NPPES
Florida Other TP618 FLORIDA BLUE

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