DR. DWIGHT PETER LIM TIU (NPI# 1154326585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154326585 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT PETER LIM TIU |
| Credential | M.D. |
| Practice Address |
1301 Reid St Palatka FL 32177-3237 |
| Mailing Address |
199 S Riverwalk Dr Palm Coast FL 32137-1319 |
| Practice Telephone | 3863285437 |
| Practice Fax Number | 3863285464 |
| Mailing Telephone | 3863285437 |
| Mailing Fax Number | 3863285464 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0075674 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254779100 | 05 | |
| FL | BCBS | 43808 | 01 |
| Street Address |
1301 REID ST |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477698868 | Patricia Jamo-place | Nurse Practitioner | 1301 Reid St, Palatka, FL 32177-3237 | 2007-02-21 |
| 1003866732 | Acute Care Pediatrics,pa | Pediatrics | 1301 Reid St, Palatka, FL 32177-3237 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548353204 | Cindie L Raybon | Pediatrics | 700 Zeagler Dr Ste 7, Palatka, FL 32177-3826 | 2006-10-02 |
| 1043208093 | Laura Jean Hoss | Pediatrics | 6910 Old Wolf Bay Rd, Kids Care Pediatrics, Pa, Palatka, FL 32177-6800 | 2005-10-12 |
| 1043708217 | Cindie Raybon, Md, LLC | Pediatrics | 700 Zeagler Dr Ste 7, Palatka, FL 32177-3826 | 2018-04-24 |
| 1366632523 | Cynthia Danielle Skelly | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2007-07-25 |
| 1679791701 | Ernest Gonzalez | Pediatrics | 800 Zeagler Dr, Suite600, Palatka, FL 32177-3867 | 2007-04-23 |
| 1518044528 | Kids Care Pediatrics,pa | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2006-11-01 |
| 1093732919 | Florangel Gomez Edralin | Pediatrics | 6910 Old Wolf Bay Rd, Palatka, FL 32177-6800 | 2006-07-16 |
| 1427098490 | Ernest Gonzalez | Pediatrics | 800 Zeagler Dr, Suite 600, Palatka, FL 32177-3867 | 2006-06-07 |
| 1003866732 | Acute Care Pediatrics,pa | Pediatrics | 1301 Reid St, Palatka, FL 32177-3237 | 2006-05-11 |
| 1952399909 | Eric Maurice Jump | Pediatrics | 6910 Old Wolf Bay Rd, Kids Care Pediatrics, Pa, Palatka, FL 32177-6800 | 2005-10-12 |
| Find all providers in PALATKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.