Basic Information
Provider Information
NPI: 1013350743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOKE
FirstName: TANYA
MiddleName: PUKLUS
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 770 NORTHPOINT PKWY STE 100
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334071901
CountryCode: US
TelephoneNumber: 5618025357
FaxNumber:  
Practice Location
Address1: 770 NORTHPOINT PKWY STE 100
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334071901
CountryCode: US
TelephoneNumber: 5616553331
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/11/2013
LastUpdateDate: 10/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X35807ALN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VF0040XME153289FLY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery

No ID Information.


Home