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Individual

DANNY LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881
(863) 293-1121
Mailing address
8153 JAILENE DR, WINDERMERE, FL 34786-6745
(954) 328-9388

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
114
WI
367H00000X
Anesthesiologist Assistant
Primary
290
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780051094
FL
05
1780051094
WI
Enumeration date
08/24/2015
Last updated
10/23/2019
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