MEDICARE: MRS. PRISCILA J DE LIMA R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	3066	PR
2	163W00000X	Registered Nurse	RN9699248	FL

General Provider Information

NPI Number	:	1215214655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PRISCILA J DE LIMA R.N.

Provider Business Mailing Address
First Line	:	11373 SPLIT OAK LN FL 2
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-4030
Country	:	US
Telephone Number	:	201-248-5819
Fax Number	:

Provider Business Practice Location Address
First Line	:	11373 SPLIT OAK LN FL 2
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-4030
Country	:	US
Telephone Number	:	201-248-5819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	05/27/2026

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