Individual
DR. EMANUEL MICHAEL BOUTZOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13611 STAGHORN RD, TAMPA, FL 33626-2322
(727) 688-3108
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY13082
FL
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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