Provider Demographics
NPI:1376746677
Name:LIM, MAY JOY D (MD)
Entity Type:Individual
Prefix:
First Name:MAY JOY
Middle Name:D
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9589 MIRADA BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3828
Mailing Address - Country:US
Mailing Address - Phone:239-437-2121
Mailing Address - Fax:239-437-2580
Practice Address - Street 1:9371 CYPRESS LAKE DR STE 10
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4946
Practice Address - Country:US
Practice Address - Phone:239-437-2121
Practice Address - Fax:239-437-2580
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-241109207Q00000X
FLME110139207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA015553C25Medicare PIN
FLFY956ZMedicare PIN
VA0018053C18Medicare PIN