Individual
BRENO DA ROCHA LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7205 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
(904) 296-0098
Mailing address
7205 BONNEVAL RD, JACKSONVILLE, FL 32256-7565
(904) 296-0098
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D74033
MD
207W00000X
Ophthalmology Physician
Primary
ME117136
FL
390200000X
Student in an Organized Health Care Education/Training Program
189939
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
09/03/2007
Last updated
08/06/2013
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