Healthcare Provider Details
I. General information
NPI: 1033164637
Provider Name (Legal Business Name): BRIAN LIM HOH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 08/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
PO BOX 918025
ORLANDO FL
32891-8025
US
V. Phone/Fax
- Phone: 352-273-9000
- Fax: 352-392-8413
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | ME94564 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: