Healthcare Provider Details

I. General information

NPI: 1194783449
Provider Name (Legal Business Name): GENY LIMA M.ED, CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5651A NW 29TH ST
MARGATE FL
33063-1531
US

IV. Provider business mailing address

5651A NW 29TH ST
MARGATE FL
33063-1531
US

V. Phone/Fax

Practice location:
  • Phone: 954-984-2701
  • Fax: 954-301-2858
Mailing address:
  • Phone: 954-984-2701
  • Fax: 954-301-2858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA4861
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: