Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tampa Bay Neurocognitive Institute PLLC

Organization Neurology Physician · NPI 1730926304

Tampa Bay Neurocognitive Institute PLLC is a Neurology Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

501 S Lincoln Ave Ste 26
Clearwater, FL 33756-5964
Phone: (727) 498-0808
Fax: (727) 477-8303
Show map & directions

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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