Individual provider Active NPI

Kimberly Lawus Scurry, M.D.

  • Family Medicine Physician
  • Land O Lakes, FL
National Provider Identifier
1669462677
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79025 Issued in FL
Practice address
20360 Gator LN BLDG 14
Land O Lakes, FL 34638-2802
Phone
(813) 346-3400
Fax
(813) 346-3491
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME79025 FL Primary
Family Medicine Physician 207Q00000X P3753 TX

Addresses

Primary practice location

20360 Gator LN BLDG 14
Land O Lakes, FL 34638-2802

Mailing address

20360 Gator LN BLDG 14
Land O Lakes, FL 34638-2802
Phone (813) 346-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000063 FL Practitioner - Family Practice 4486552882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3753TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince May 18, 2016 Accepting new patients

Locations

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1669462677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20360 GATOR LN BLDG 14",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382802",
            "telephone_number": "813-346-3400",
            "fax_number": "813-346-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20360 GATOR LN BLDG 14",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382802",
            "telephone_number": "813-346-3400",
            "fax_number": "813-346-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWUS SCURRY",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79025",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.