Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tampa Bay Neurocognitive Institute PLLC

Organization Neurology Physician · NPI 1730926304

Tampa Bay Neurocognitive Institute PLLC provides Neurology Physician services in Clearwater, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 S Lincoln Ave Ste 26
Clearwater, FL 33756-5964
Phone: (727) 498-0808
Fax: (727) 477-8303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1730926304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Somphanh Khousakoun — Ceo · (727) 498-0808
Other names Tampa Bay Neurocognitive Institute; Tampa Bay Neurocognitive Institute
NPI enumeratedJuly 11, 2024
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address501 S Lincoln Ave Ste 26, Clearwater, FL 33756-5964

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