Doctor Name: | TIM K PUCKETT |
NPI Number: | 1609857549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME93795 |
Business Practice Address: | 8110 Royal Palm Blvd Ste 108 Coral Springs, FL - 330655795 |
Business Phone Number: | 9543418288 |
Business Fax Number: | 9543415156 |
Mailing Address: | 8110 Royal Palm Blvd, Ste 108 CORAL SPRINGS |
State: | FL |
Postal Code: | 330655795 |
Phone Number: | 9543418288 |
Fax Number: | 9543415156 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME93795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |