Provider Demographics
NPI:1194717470
Name:LIMERES, MIGUEL M JR (MD)
Entity type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:M
Last Name:LIMERES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:530 ZEAGLER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-6856
Mailing Address - Country:US
Mailing Address - Phone:386-326-0223
Mailing Address - Fax:386-326-0664
Practice Address - Street 1:530 ZEAGLER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-6856
Practice Address - Country:US
Practice Address - Phone:386-326-0223
Practice Address - Fax:386-326-0664
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2014-03-20
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Provider Licenses
StateLicense IDTaxonomies
FLME76533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10714178OtherCIGNA
FL255727400Medicaid
FL44688OtherBCBS OF FL
FL110231697OtherRAILROAD MEDICARE
FL10714178OtherCIGNA
E1150YMedicare PIN