My Kid'S Doctor

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME68995 Issued in FL

Legal business name

MY KID'S DOCTOR

Practice address

319 W Oak St
Kissimmee, FL 34741-4421

Phone

(407) 343-5683

Fax

(407) 343-5684

NPI assigned

Jul 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nora Elizabeth Bolanos, MD

Title

Owner

Phone

(407) 343-5683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1902005457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-343-5683",
            "fax_number": "407-343-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-343-5683",
            "fax_number": "407-343-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KID'S DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-343-5683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME68995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.