Organization
MY KID'S DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORA ELIZABETH BOLANOS MD (OWNER)
(407) 343-5683
Entity
Organization
Contact information
Practice address
319 W OAK ST, KISSIMMEE, FL 34741-4421
(407) 343-5683
(407) 343-5684
Mailing address
319 W OAK ST, KISSIMMEE, FL 34741-4421
(407) 343-5683
(407) 343-5684
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME68995
FL
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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