Josephine B Lim Md Pa | |
2404 Lakeland Hills Blvd Lakeland FL 33805-2214 | |
(863) 802-8440 | |
(863) 802-8310 |
Full Name | Josephine B Lim Md Pa |
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Speciality | Psychiatry & Neurology |
Location | 2404 Lakeland Hills Blvd, Lakeland, Florida |
Authorized Official Name and Position | Josephine Blanche Lim (PRESIDENT) |
Authorized Official Contact | 8638028440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Josephine B Lim Md Pa 2404 Lakeland Hills Blvd Lakeland FL 33805-2214 Ph: (863) 802-8440 | Josephine B Lim Md Pa 2404 Lakeland Hills Blvd Lakeland FL 33805-2214 Ph: (863) 802-8440 |
NPI Number | 1295911196 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 01/10/2008 |
Medicare PECOS PAC ID | 9234211525 |
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Medicare Enrollment ID | O20080125000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295911196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME80475 (Florida) | Primary |
Provider Name | Josephine B Lim |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548237902 PECOS PAC ID: 1153412663 Enrollment ID: I20070811000136 |
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