Individual
JOSEPH KOUKL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
943 S BENEVA RD STE 106, SARASOTA, FL 34232-2471
(941) 955-6748
(941) 953-6023
Mailing address
943 S BENEVA RD STE 306, SARASOTA, FL 34232-2499
(941) 955-1108
(941) 954-4440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116940
FL
363AS0400X
Surgical Physician Assistant
PA9116940
FL
Other
Enumeration date
01/25/2023
Last updated
10/18/2024
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