Individual provider Active NPI

Kimberly Beth Lord-Strulovic, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1861434508
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME91439 Issued in FL
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

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272092200MedicaidFL

Other names 1

  • Dr. Kim Beth Lord Former name

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
I20061012000331 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4880690957 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132081OHMDPediatrics Physician
U8088TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Mar 3, 2018 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Mar 3, 2018 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jan 27, 2023 Accepting new patients
Southwest Florida Emergency Management LLC CurrentSince Jun 1, 2024 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince May 1, 2016 Accepting new patients
South Miami Criticare Inc. CurrentSince Mar 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.