Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 255543 | NY |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS 10968 | FL |
N | 207QS0010X | Family Doctor - Sports Medicine | 255543 | NY |
N | 207QS0010X | Family Doctor - Sports Medicine | OS10968 | FL |
NPI | 1427374354 |
---|---|
Provider Name | Dr. Nabeel Kouka |
First Address | Aventura, FL 33180-4925 |
Second Address | Aventura, FL 33180-4925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 10/11/2017 |