Provider Demographics
NPI:1346632734
Name:SUKIE, TAMARA LYNETTE (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYNETTE
Last Name:SUKIE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3646 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8525
Mailing Address - Country:US
Mailing Address - Phone:305-494-6106
Mailing Address - Fax:
Practice Address - Street 1:3646 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-8525
Practice Address - Country:US
Practice Address - Phone:305-494-6106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9236010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily