Provider Demographics
NPI:1053061309
Name:NAVARRO LIMA, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:NAVARRO LIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 WHALEBONE BAY DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7426
Mailing Address - Country:US
Mailing Address - Phone:310-689-6668
Mailing Address - Fax:
Practice Address - Street 1:2625 WHALEBONE BAY DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7426
Practice Address - Country:US
Practice Address - Phone:310-689-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician