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Organization
MATTHEW K J LIM MD PA
Active
Organization
MATTHEW K J LIM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW K J LIM MD (PHYSICIAN-OPHTHALMOLOGIST)
(954) 583-8300
Entity
Organization
Contact information
Practice address
150 NW 70TH AVE, PLANTATION, FL 33317-2911
(954) 583-8300
(954) 583-8309
Mailing address
150 NW 70TH AVE, PLANTATION, FL 33317-2911
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME46175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035988200
—
FL
01
—
ME46175
FLORIDA LICENSE
FL
Enumeration date
11/15/2006
Last updated
12/05/2012
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