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JOHAN KOUTOUBY
NPI 1174148472
Nurse Practitioner - Family in Tampa, FL

Active since June 11, 2020
4710 N HABANA AVE STE 405, TAMPA, FL 33614(813) 444-3204 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Sep 8, 2020, Jul 6, 2020 and 1 more (4 updates tracked since 2020).

About Johan Koutouby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHAN KOUTOUBY (NPI 1174148472) is an individual family provider in Tampa, Florida, licensed in Florida (11007517) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1174148472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHAN KOUTOUBY
Location Address4710 N HABANA AVE STE 405Tampa, FL 33614-7152
Mailing Address4710 N Habana Ave Ste 405Tampa, FL 33614-7152
Phone(813) 444-3204
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1174148472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11007517
4710 N HABANA AVE STE 405, Tampa, FL 33614
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johan Koutouby's NPI number?

The NPI number for Johan Koutouby is 1174148472. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Johan Koutouby located?

Johan Koutouby practices at 4710 N Habana Ave Ste 405, Tampa, FL 33614. The listed phone number is (813) 444-3204.

What is Johan Koutouby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Johan Koutouby was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.