TIM K PUCKETT MD NPI 1609857549

NPI Information

  • NPI: 1609857549
  • Provider Name: TIM K PUCKETT, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8110 ROYAL PALM BLVD
    STE 108
    CORAL SPRINGS, FL
    ZIP 33065
  • Phone: (954) 341-8288

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NPI Details

Tim K Puckett, MD is an obstetrics gynecology in Coral Springs, FL with 40 years of experience. The provider is 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. Tim K Puckett, MD NPI is 1609857549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1985

The provider's business location address is:

8110 ROYAL PALM BLVD
STE 108
CORAL SPRINGS, FL
ZIP 33065-795
Phone: (954) 341-8288
Fax: (954) 341-5156

The NPI 1609857549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME93795FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1273922400MEDICAIDFLORIDA
2F73727MEDICARE UPIN
3U6635ZMEDICARE PINFLORIDA
453106OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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