Emerald Coast Pediatrics & Adolescents

LBN: Emerald Coast Pediatrics & Adolescents
Emerald Coast Pediatrics & Adolescents is an health care organization with primary practice located at 621 W Baldwin Rd Ste A , Panama City FL 32405-3364. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Emerald Coast Pediatrics & Adolescents can be contacted via phone (850) 747-3661, or through Kenawy, Eehab A via phone (850) 747-3661.

Contact Information

Primary practice address
621 W Baldwin Rd Ste A Panama City FL 32405-3364
Phone: (850) 747-3661
Fax: (850) 747-0194
Website:
Map and Directions
Authorized official contact:
Name: Kenawy, Eehab A Doctor of Medicine (MD)
Phone: (850) 747-3661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME86651 Florida

Profile Details

NPI number 1790130250
LBN Legal business name Emerald Coast Pediatrics & Adolescents
DBA Doing business as
Authorized official Kenawy, Eehab A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated May 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790130250 NPPES
Florida MEDICAID 266831900

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