Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY BOUGOULIAS, M.D.
ActiveDR. KIMBERLY BOUGOULIAS, M.D. is a Pediatrics healthcare provider located in LAKE MARY, Florida. NPI 1457342453 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · LAKE MARY, FL
Registration Details
- NPI Number
- 1457342453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2005 (20.796860054804 yrs)
- Last Updated
- May 18, 2020
- License
-
ME61498 (FL)
Practice Information
- Address
-
725 RODEL CVLAKE MARY, FL, 327464859Browse FL providers · Browse ZIP 32746
- Phone
- 4073023130
- Fax
- 4073023132
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MILES M LANDIS | M.D. | 1104821081 |
| DR. KAREN J HILLOCK | M.D. | 1053316935 |
| DR. ROBERT H CHONG | M.D. | 1215932108 |
| EHTERAM RAISSI-FARD | MD | 1588650576 |
| DR. MITCHELL W. MADDEN | MD | 1093706095 |
| DR. AILEEN J. FIELD | M.D. | 1194716175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.