Doctor Name: | DR. CERES LIM ROXAS |
NPI Number: | 1679897466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME32140 |
Business Practice Address: | 100 N Main St Chattahoochee, FL - 323241107 |
Business Phone Number: | 8506637501 |
Business Fax Number: | 8506637771 |
Mailing Address: | 10360 Huntington Forest Blvd E, JACKSONVILLE |
State: | FL |
Postal Code: | 322577620 |
Phone Number: | 9046990605 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME32140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |