Individual
ILYA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1617 S TUTTLE AVE FL 3, SARASOTA, FL 34239-3132
(941) 559-7999
Mailing address
PO BOX 15853, SARASOTA, FL 34277-1853
(941) 559-7999
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
56827
CT
207N00000X
Dermatology Physician
MD451623
PA
207N00000X
Dermatology Physician
Primary
ME153859
FL
Other
Enumeration date
06/22/2010
Last updated
11/12/2022
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