# MATTHEW K J LIM MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265505713
- **Authorized official:** MATTHEW K J LIM MD (PHYSICIAN-OPHTHALMOLOGIST)
- **Authorized official phone:** (954) 583-8300

## Contact information

- **Practice address:** 150 NW 70TH AVE, PLANTATION, FL 33317-2911
- **Practice address phone:** (954) 583-8300
- **Practice address fax:** (954) 583-8309
- **Mailing address:** 150 NW 70TH AVE, PLANTATION, FL 33317-2911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME46175 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 035988200 | — | FL |
| 01 | — | ME46175 | FLORIDA LICENSE | FL |