Organization
FLORENCE KIMBO M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE V KIMBO (OWNER)
(440) 234-8746
Entity
Organization
Contact information
Practice address
18660 BAGLEY RD BLDG 1, SUITE 404, CLEVELAND, OH 44130-3483
(440) 234-8746
Mailing address
18660 BAGLEY RD BLDG 1, SUITE 404, CLEVELAND, OH 44130-3483
(440) 234-8746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1000379
OH
164W00000X
Licensed Practical Nurse
COA12811
OH
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
35094183
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35085738
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35087776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092217
—
OH
Enumeration date
09/28/2013
Last updated
12/17/2025
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