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

Individual provider Physician Assistant · NPI 1134008840

Shaughn Koukos, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2025, 1 year ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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

2415 N Orange Ave Ste 502
Orlando, FL 32804-5503
Phone: (407) 303-2801
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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 PA9120645 (FL)

Record details

NPI number1134008840
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESFebruary 8, 2026
Certification dateFebruary 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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