Lim, Mary

Lim, Mary is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Neonatology, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Lim, Mary can be contacted via phone (904) 244-5100.

Contact Information

Primary practice address
655 W 8Th St Ufjp Neonatology Jacksonville FL 32209-6511
Phone: (904) 244-5100
Fax: (904) 244-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME43795 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME43795 Florida

Profile Details

NPI number 1669431060
LBN Legal business name Lim, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 6th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669431060 NPPES
Georgia MEDICAID 000291805B
Georgia Other 370007172
Georgia MEDICAID 3798232-00

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