Provider Demographics
NPI:1215010061
Name:LIM, NANCY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 WOODS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6039
Mailing Address - Country:US
Mailing Address - Phone:352-321-6961
Mailing Address - Fax:
Practice Address - Street 1:8849 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6951
Practice Address - Country:US
Practice Address - Phone:844-665-4827
Practice Address - Fax:866-369-7893
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4965207Q00000X
ALMD27483207Q00000X
FLME95140207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine