Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35807 | AL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME153289 | FL |
NPI | 1013350743 |
---|---|
Provider Name | Tanya Puklus Hoke |
First Address | West Palm Beach, FL 33407-1901 |
Second Address | West Palm Beach, FL 33407-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 19/10/2021 |