Individual
YANA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 DON WICKHAM DR STE 140D, CLERMONT, FL 34711-1979
(321) 843-8370
(321) 843-6886
Mailing address
1900 DON WICKHAM DR STE 140D, CLERMONT, FL 34711-1979
(321) 843-8370
(321) 843-6886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30616
WV
208600000X
Surgery Physician
BP10043382
TX
2086X0206X
Surgical Oncology Physician
30616
WV
2086X0206X
Surgical Oncology Physician
92536
GA
2086X0206X
Surgical Oncology Physician
Primary
ME169092
FL
Other
Enumeration date
06/06/2012
Last updated
10/01/2025
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