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

Joseph Koukl, PA-C

Individual provider Surgical Physician Assistant · NPI 1386350106

Joseph Koukl, PA-C is a Physician Assistant in Sarasota, Florida. Qualified in 2022, 4 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

943 S Beneva Rd Ste 106
Sarasota, FL 34232-2471
Phone: (941) 955-6748
Fax: (941) 953-6023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116940 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9116940 (FL)

Record details

NPI number1386350106
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address943 S Beneva Rd Ste 306, Sarasota, FL 34232-2499

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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