Provider Demographics
NPI:1710170592
Name:BENES LIMA, LOURDES (MD)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:
Last Name:BENES LIMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOURDES
Other - Middle Name:
Other - Last Name:BENES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:92 N DEAN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3769
Mailing Address - Country:US
Mailing Address - Phone:407-916-0304
Mailing Address - Fax:888-960-6364
Practice Address - Street 1:92 N DEAN RD STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3769
Practice Address - Country:US
Practice Address - Phone:407-916-0304
Practice Address - Fax:888-960-6364
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1384192084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology