Individual
DR. DWIGHT PETER LIM TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FLORIDA PARK DR N, PALM COAST, FL 32137-3852
(904) 728-6934
(386) 251-0943
Mailing address
12 FLOYD CT, PALM COAST, FL 32137-8301
(386) 328-5437
(386) 447-7348
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME75674
FL
208000000X
Pediatrics Physician
ME0075674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254779100
—
FL
01
—
43808
BCBS
FL
Enumeration date
06/13/2005
Last updated
12/20/2024
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