MEDICARE: DR. FLORENCE V KIMBO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	35-085738	OH
2	2084P0800X	Psychiatry Physician	35085738	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851475875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORENCE V KIMBO MD

Provider Business Mailing Address
First Line	:	18660 BAGLEY RD STE 404A
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3482
Country	:	US
Telephone Number	:	440-234-8746
Fax Number	:	440-234-8748

Provider Business Practice Location Address
First Line	:	7530 LUCERNE DR STE 110
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-6557
Country	:	US
Telephone Number	:	440-234-8746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/15/2026

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