Healthcare Provider Details

I. General information

NPI: 1215010061
Provider Name (Legal Business Name): NANCY LIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4065 N LECANTO HWY
BEVERLY HILLS FL
34465-3555
US

IV. Provider business mailing address

4065 N LECANTO HWY STE 600
BEVERLY HILLS FL
34465-3564
US

V. Phone/Fax

Practice location:
  • Phone: 352-321-6961
  • Fax:
Mailing address:
  • Phone: 352-321-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE4965
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD27483
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME95140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: