Healthcare Provider Details

I. General information

NPI: 1215214655
Provider Name (Legal Business Name): PRISCILA J DE LIMA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11373 SPLIT OAK LN FL 2
ORLANDO FL
32832-4030
US

IV. Provider business mailing address

11373 SPLIT OAK LN FL 2
ORLANDO FL
32832-4030
US

V. Phone/Fax

Practice location:
  • Phone: 201-248-5819
  • Fax:
Mailing address:
  • Phone: 201-248-5819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3066
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9699248
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: