Provider Demographics
NPI:1851148712
Name:LIMA, DANILLO VIEIRA
Entity type:Individual
Prefix:
First Name:DANILLO
Middle Name:VIEIRA
Last Name:LIMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 STATION SQ APT 2-209
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-1653
Mailing Address - Country:US
Mailing Address - Phone:689-243-3963
Mailing Address - Fax:
Practice Address - Street 1:3080 STATION SQ APT 2-209
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1653
Practice Address - Country:US
Practice Address - Phone:689-243-3963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48441719423246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other