Provider Demographics
NPI:1114796521
Name:LIMA, LUCIANA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LUCIANA
Middle Name:
Last Name:LIMA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LUCIANA
Other - Middle Name:
Other - Last Name:GUALBERTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LUCIANA LIMA, FNP-C
Mailing Address - Street 1:7593 W BOYNTON BEACH BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6162
Mailing Address - Country:US
Mailing Address - Phone:561-649-7000
Mailing Address - Fax:561-964-4603
Practice Address - Street 1:10115 FOREST HILL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3104
Practice Address - Country:US
Practice Address - Phone:561-877-8351
Practice Address - Fax:844-768-2781
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily