MEDICARE: KIM CATHERINE STYRVOKY M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	P1144	TX
2	207RP1001X	Pulmonary Disease Physician	P1144	TX
3	207RP1001X	Pulmonary Disease Physician	ME171441	FL

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	:	1851618417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM CATHERINE STYRVOKY M.D.

Provider Business Mailing Address
First Line	:	1920 DON WICKHAM DR STE 127
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1978
Country	:	US
Telephone Number	:	407-648-5384
Fax Number	:	321-843-6975

Provider Business Practice Location Address
First Line	:	1920 DON WICKHAM DR STE 127
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1978
Country	:	US
Telephone Number	:	407-648-5384
Fax Number	:	321-843-6975

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

Provider Enumeration Date	:	04/22/2010
Last Update Date	:	03/17/2025

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Directions to “ KIM CATHERINE STYRVOKY M.D.” Practice Location

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