Puckett, Tim K
Puckett, Tim K is an individual health care provider with primary practice located at 8110 Royal Palm Blvd Ste 108, Coral Springs FL 33065-5795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Puckett, Tim K can be contacted via phone (954) 341-8288.Contact Information
Primary practice address
8110 Royal Palm Blvd Ste 108
Coral Springs FL 33065-5795
Phone: (954) 341-8288
Fax: (954) 341-5156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME93795 | Florida |
Profile Details
| NPI number | 1609857549 |
|---|---|
| LBN Legal business name | Puckett, Tim K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | May 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609857549 | NPPES |
| Other | 53106 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 273922400 | BLUE CROSS BLUE SHIELD |
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