Organization Active NPI

Josephine B Lim MD PA

  • Neurology Physician
  • Lakeland, FL
National Provider Identifier
1295911196
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME80475 Issued in FL
Legal business name
JOSEPHINE B LIM MD PA
Practice address
2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214
Phone
(863) 802-8440
Fax
(863) 802-8310
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Josephine Blanche Lim
Title
President
Phone
(863) 802-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME80475 FL Primary

Addresses

Primary practice location

2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214

Mailing address

2404 Lakeland Hills Blvd
Lakeland, FL 33805-2214
Phone (863) 802-8440

National Provider Directory

National Provider Directory

Locations

110 Lithia Pinecrest Rd
Ste J
Brandon, FL 33511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1295911196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052214",
            "telephone_number": "863-802-8440",
            "fax_number": "863-802-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052214",
            "telephone_number": "863-802-8440",
            "fax_number": "863-802-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE B LIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "BLANCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-802-8440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME80475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.