Provider Demographics
NPI:1518142595
Name:CARMELITA B LIM MD AND ASSOCIATES INC
Entity Type:Organization
Organization Name:CARMELITA B LIM MD AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMELITA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-382-4040
Mailing Address - Street 1:5909 US 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1218
Mailing Address - Country:US
Mailing Address - Phone:863-382-4040
Mailing Address - Fax:863-382-3533
Practice Address - Street 1:5909 US 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1218
Practice Address - Country:US
Practice Address - Phone:863-382-4040
Practice Address - Fax:863-382-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050046207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL26015160Medicaid
FLCI1511Medicare PIN
FLK0809Medicare PIN