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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366769317 | NPPES |
| Florida | Other | TP618 | FLORIDA BLUE |
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