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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669431060 | NPPES |
| Georgia | MEDICAID | 000291805B | |
| Georgia | Other | 370007172 | |
| Georgia | MEDICAID | 3798232-00 |
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