DR. DWIGHT PETER LIM TIU M.D. NPI 1154326585

NPI Information

NPI: 1154326585
Provider Name: DR. DWIGHT PETER LIM TIU, M.D.
Classification: Family Medicine - 207QA0401X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 1 FLORIDA PARK DR N
PALM COAST, FL
ZIP 32137
Phone: (904) 728-6934

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NPI Details

DR. Dwight Peter Lim Tiu, M.D. is an addiction medicine family medicine in Palm Coast, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Dwight Peter Lim Tiu, M.D. NPI is 1154326585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 FLORIDA PARK DR N
PALM COAST, FL
ZIP 32137-852
Phone: (904) 728-6934
Fax: (386) 251-0943

The NPI 1154326585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 12/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME0075674	FLORIDA	No
2	207QA0401X	Family Medicine	Addiction Medicine	ME75674	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43808	OTHER	FLORIDA	BCBS
2	254779100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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