MEDICARE: NANCY LIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E4965	AR
2	207Q00000X	Family Medicine Physician	MD27483	AL
3	207Q00000X	Family Medicine Physician	ME95140	FL

General Provider Information

NPI Number	:	1215010061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY LIM MD

Provider Business Mailing Address
First Line	:	4065 N LECANTO HWY STE 600
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3564
Country	:	US
Telephone Number	:	352-321-6961
Fax Number	:

Provider Business Practice Location Address
First Line	:	4065 N LECANTO HWY
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3555
Country	:	US
Telephone Number	:	352-321-6961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	04/27/2026

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Directions to “ NANCY LIM MD” Practice Location

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