Organization
TAMPA BAY NEUROCOGNITIVE INSTITUTE PLLC
Active
Other names
Tampa Bay Neurocognitive Institute
Organization subpart
No
Provider details
NPI number
Authorized official
SOMPHANH TYNOI KHOUSAKOUN (CEO)
(727) 498-0808
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE STE 26, CLEARWATER, FL 33756-5964
(727) 498-0808
(727) 477-8303
Mailing address
501 S LINCOLN AVE STE 26, CLEARWATER, FL 33756-5964
(727) 498-0808
(727) 477-8303
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
11/12/2025
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