Provider Demographics
NPI:1427374354
Name:KOUKA, NABEEL (MD, DO, MBA, MPH)
Entity type:Individual
Prefix:DR
First Name:NABEEL
Middle Name:
Last Name:KOUKA
Suffix:
Gender:M
Credentials:MD, DO, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 W OAKLAND PARK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7229
Mailing Address - Country:US
Mailing Address - Phone:305-280-0505
Mailing Address - Fax:305-280-0599
Practice Address - Street 1:8850 W OAKLAND PARK BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7229
Practice Address - Country:US
Practice Address - Phone:305-280-0505
Practice Address - Fax:305-280-0599
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10968207Q00000X, 204D00000X, 207QS0010X, 207Q00000X
NY255543207Q00000X, 204D00000X
PAOS 14994207QS0010X
TNDO 2101207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine