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

Latifa Boukarrou, MD

Individual provider Neurology Physician · NPI 1366769317

Latifa Boukarrou, MD is a Neurology in Port Saint Lucie, Florida. Qualified in 2000, 26 years ago. Practices with Cep America - Neurology PC, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Florida, Pennsylvania and Washington and 1 more.

Years since qualifying
26
Licensed in
CA, FL, PA, WA, WI
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1651 SE Tiffany Ave Ste 101
Port Saint Lucie, FL 34952-7564
Phone: (772) 419-3810
Fax: (772) 419-3811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 2nd St, Neenah, WI 54956-2883 — (920) 735-7645

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A156992 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence MD61603092 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence MD449015 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence 84996 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence ME129352 (FL)

Record details

NPI number1366769317
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2010
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing addressPo Box 417, Stuart, FL 34995-0417

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cep America - Neurology Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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