Provider Demographics
NPI:1073821856
Name:LIM, RENELLE POINTDUJOUR (MD)
Entity Type:Individual
Prefix:
First Name:RENELLE
Middle Name:POINTDUJOUR
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RENELLE
Other - Middle Name:
Other - Last Name:POINTDUJOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 15853
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-1853
Mailing Address - Country:US
Mailing Address - Phone:941-499-0199
Mailing Address - Fax:
Practice Address - Street 1:1617 S. TUTTLE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-499-0199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME153736207WX0107X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist