| Katryna Lim M.d.,p.a. | |
|
3505 Nw 84th Ave Sunrise FL 33351-6607 | |
| (954) 748-3039 | |
| Not Available |
| Full Name | Katryna Lim M.d.,p.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3505 Nw 84th Ave, Sunrise, Florida |
| Authorized Official Name and Position | Katryna Lim (PRESIDENT) |
| Authorized Official Contact | 9546953245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katryna Lim M.d.,p.a. 7301 Lemon Grass Dr Parkland FL 33076-3950 | Katryna Lim M.d.,p.a. 3505 Nw 84th Ave Sunrise FL 33351-6607 Ph: (954) 748-3039 |
| NPI Number | 1265089619 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 8426388828 |
|---|---|
| Medicare Enrollment ID | O20190927001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265089619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Katryna Kathleen Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811351455 PECOS PAC ID: 0042540452 Enrollment ID: I20190927001914 |
| Provider Name | Churvill Siao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750986030 PECOS PAC ID: 8022558444 Enrollment ID: I20240911003163 |
| Provider Name | Kam Lady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215543590 PECOS PAC ID: 2062941602 Enrollment ID: I20250127000470 |
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