Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Radouane Laktib, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255196945

Mr. Radouane Laktib, PMHNP-BC is a Nurse Practitioner in Tampa, Florida. Qualified in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4202 E Fowler Ave
Tampa, FL 33620-8000
Phone: (813) 974-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11031382 (FL)

Record details

NPI number1255196945
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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