Male or Other

Alan S. Lim MD

Family Medicine Physician in Jacksonville, FL(View on Map)

Full Name

Alan Saruca Lim MD

NPI Number

1104896935

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/24/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida
South Carolina

License Number

ME65568
13218

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 746638
6142 COLLINS RD

City

Atlanta
Jacksonville

State

GA
FL

Postal Code

30374-6638
32244-5806

Country

US
US

Telephone Number

(904) 202-2092
(904) 778-3200

Identifiers

Identifier

P00818033

Identifier State

FL

Identifier Issuer

RR MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/05/2024

Provider Address

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