Provider Demographics
NPI:1407128689
Name:WOKE, CHINYERE (BA)
Entity Type:Individual
Prefix:MS
First Name:CHINYERE
Middle Name:
Last Name:WOKE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OAKWOOD LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1929
Mailing Address - Country:US
Mailing Address - Phone:954-561-9681
Mailing Address - Fax:954-563-6063
Practice Address - Street 1:200 OAKWOOD LN
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1929
Practice Address - Country:US
Practice Address - Phone:954-561-9681
Practice Address - Fax:954-563-6063
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator