Provider Demographics
NPI:1538310164
Name:LIMA, CLELIA BARBOZA (DNP, ARNP-C)
Entity Type:Individual
Prefix:DR
First Name:CLELIA
Middle Name:BARBOZA
Last Name:LIMA
Suffix:
Gender:F
Credentials:DNP, ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 BRANTLEY TERRACE WAY UNIT 303
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-0832
Mailing Address - Country:US
Mailing Address - Phone:407-522-0007
Mailing Address - Fax:407-522-0007
Practice Address - Street 1:586 BRANTLEY TERRACE WAY UNIT 303
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-0832
Practice Address - Country:US
Practice Address - Phone:407-522-0007
Practice Address - Fax:407-522-0007
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9169534363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFE076ZOtherPROVIDER TRANSACTION ACCESS NUMBER