OrganizationActive
My Kid'S Doctor
NPI 1902005457 · Clinic/Center · Kissimmee, FL
Provider details
- NPI number
- 1902005457
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nora Bolanos, Owner(407) 343-5683
- License
- ME68995 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
319 W Oak St
Kissimmee, FL 34741-4421
Phone: (407) 343-5683
Fax: (407) 343-5684
Street-level locationGet directions
Mailing address
319 W Oak St
Kissimmee, FL 34741-4421
Registry dates
- Enumerated
- 2007-07-15
- Last updated
- 2007-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.