| My Kid's Doctor | |
|
319 W Oak St Kissimmee FL 34741-4421 | |
| (407) 343-5683 | |
| (407) 343-5684 |
| Full Name | My Kid's Doctor |
|---|---|
| Speciality | Clinic/center |
| Location | 319 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Nora Elizabeth Bolanos (OWNER) |
| Authorized Official Contact | 4073435683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Kid's Doctor 319 W Oak St Kissimmee FL 34741-4421 Ph: (407) 343-5683 | My Kid's Doctor 319 W Oak St Kissimmee FL 34741-4421 Ph: (407) 343-5683 |
| NPI Number | 1902005457 |
|---|---|
| Provider Enumeration Date | 07/15/2007 |
| Last Update Date | 07/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902005457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME68995 (Florida) | Primary |
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