NPIMap

Organization Active NPI

Florence Kimbo M.D., LLC

  • Psychiatry Physician
  • Middleburg Heights, OH
National Provider Identifier
1457788960
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35094183 Issued in OH
Legal business name
FLORENCE KIMBO M.D., LLC
Practice address
7530 Lucerne Dr Ste 110
Middleburg Heights, OH 44130-6557
Phone
(440) 234-8746
Fax
(440) 234-8748
NPI assigned
Sep 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Florence V KimboNPI 1851475875
Title
Owner
Phone
(440) 234-8746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1000379 OH
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X COA12811 OH
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35094183 OH Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 35087776 OH
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 35085738 OH

Addresses

Primary practice location

7530 Lucerne Dr Ste 110
Middleburg Heights, OH 44130-6557

Mailing address

18660 Bagley Rd BLDG 1
Suite 404
Cleveland, OH 44130-3483
Phone (440) 234-8746

Other practice location 1

3090 W Market St Ste 119
Fairlawn, OH 44333-3615
Phone (440) 234-8746

Other identifiers 1

IdentifierTypeStateIssuer
0092217MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131115000667 OH Part B Supplier - Clinic/Group Practice 4183850423 Receives reassigned benefits from 20 practitioners
Practice locations: Fairlawn, OH; Middleburg Heights, OH

National Provider Directory

National Provider Directory

Locations

3090 W Market St
Ste 119
Fairlawn, OH 44333
Phone (440) 234-8746

18660 Bagley Rd
Ste 404
Middleburg Heights, OH 44130
Phone (440) 234-8746

7530 Lucerne Dr
Ste 110
Middleburg Heights, OH 44130
Phone (440) 234-8746

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1457788960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD BLDG 1",
            "address_2": "SUITE 404",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-234-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 LUCERNE DR STE 110",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306557",
            "telephone_number": "440-234-8746",
            "fax_number": "440-234-8748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 W Market St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333615",
            "country_code": "US",
            "telephone_number": "440-234-8746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORENCE KIMBO M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-28",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "KIMBO",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-234-8746"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1000379",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "COA12811",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35094183",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35087776",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35085738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092217",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.