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

Dr. Emanuel Michael Boutzoukas, PHD

Individual provider Clinical Neuropsychologist · NPI 1386502953

Dr. Emanuel Michael Boutzoukas, PHD is a Clinical Neuropsychologist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone: (813) 972-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY13082 (FL)

Record details

NPI number1386502953
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address13611 Staghorn Rd, Tampa, FL 33626-2322

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