Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Bougoulias, MD

Individual provider Pediatrics Physician · NPI 1457342453

Dr. Kimberly Bougoulias, MD is a Pediatrics Physician in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Rodel Cv
Lake Mary, FL 32746-4859
Phone: (407) 302-3130
Fax: (407) 302-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME61498 (FL)

Record details

NPI number1457342453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

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