OrganizationActive
Kevin Nicholson LLC
NPI 1508209214 · Pediatrics Physician · Kissimmee, FL
Provider details
- NPI number
- 1508209214
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tansyla Nicholson, Medical Director(407) 545-9191
- License
- ME101521 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1674 Pleasant Hill Rd
Kissimmee, FL 34746-3954
Phone: (407) 545-9191
Fax: (407) 641-8918
Street-level locationGet directions
Mailing address
Po Box 407
Loughman, FL 33858-0407
Other names (DBA / former)
- Doing business as
- Doctor 2 Your Door
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2013-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.