Active NPI
Kimberly Beth Lord-Strulovic, M.D.
- Pediatrics Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME91439
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 702-6111
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | U8088 | TX | |
| Pediatrics Physician | 208000000X | ME91439 | FL | Primary |
| Pediatrics Physician | 208000000X | 35.132081 | OH |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
5252 Lagorce Dr
Miami Beach, FL 33140-2106
Phone (305) 865-1656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272092200 | Medicaid | FL |
Other names 1
- Dr. Kim Beth Lord
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.132081 | OH | MD | Pediatrics Physician |
| U8088 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Current | Accepting new patients | |
| Southwest Florida Emergency Management LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Pediatrics | Current | Accepting new patients |
| South Miami Criticare Inc. | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Past | Accepting new patients | |
| Oakfield Drive Emergency Physicians LLC | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157
Interoperability endpoints
- klord-strulovic@pa.trimed.direct-ci.com
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Pediatrics
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Physician Assistant
- Margate, FL
- NPI 1780959643
-
- Emergency Medicine Physician
- Brandon, FL
- NPI 1457670879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1861434508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 LAGORCE DR",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402106",
"telephone_number": "305-865-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD-STRULOVIC",
"first_name": "KIMBERLY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U8088",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME91439",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.132081",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272092200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "LORD",
"middle_name": "BETH",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.