Healthcare Provider Details

I. General information

NPI: 1437032927
Provider Name (Legal Business Name): TIFFANY LIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16821 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-2405
US

IV. Provider business mailing address

1560 NW 128TH DR APT 301
SUNRISE FL
33323-5214
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-6534
  • Fax:
Mailing address:
  • Phone: 954-798-0245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number497
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: