Organization
WOMENS CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAE SOO LIM M.D. (MANAGER)
(321) 269-6056
Entity
Organization
Contact information
Practice address
830 CENTURY MEDICAL DR, SUITE B, TITUSVILLE, FL 32796-2149
(321) 383-3203
(321) 383-3060
Mailing address
830 CENTURY MEDICAL DR, SUITE B, TITUSVILLE, FL 32796-2149
(321) 383-3203
(321) 383-3060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
76129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256547100
—
FL
Enumeration date
12/17/2007
Last updated
04/11/2008
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