Provider Demographics
NPI:1306255146
Name:KOUKOURAS, STEVEN (HIS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KOUKOURAS
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 TUSKAWILLA RD STE 1206
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2802
Mailing Address - Country:US
Mailing Address - Phone:407-542-0889
Mailing Address - Fax:689-278-3535
Practice Address - Street 1:160 TUSKAWILLA RD STE 1206
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2802
Practice Address - Country:US
Practice Address - Phone:407-542-0889
Practice Address - Fax:689-278-3535
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03235237700000X
FLAS4779237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist