Provider Demographics
NPI:1538478086
Name:NOB HILL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:NOB HILL MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LIM
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:954-804-0894
Mailing Address - Street 1:10098 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1895
Mailing Address - Country:US
Mailing Address - Phone:954-724-9080
Mailing Address - Fax:954-724-4379
Practice Address - Street 1:10098 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1895
Practice Address - Country:US
Practice Address - Phone:954-724-9080
Practice Address - Fax:954-724-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53050173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty