Rainbow Pediatrics Pc Llc

LBN: Rainbow Pediatrics Pc Llc
Rainbow Pediatrics Pc Llc is an health care organization with primary practice located at 200 Forest Park Cir , Panama City FL 32405-4915. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Rainbow Pediatrics Pc Llc can be contacted via phone (850) 257-5524, or through Rezk, Ahmed via phone (973) 356-6245.

Contact Information

Primary practice address
200 Forest Park Cir Panama City FL 32405-4915
Fax: (850) 257-5638
Website:
Authorized official contact:
Name: Rezk, Ahmed Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME105520 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME105520 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME105520 Florida

Profile Details

NPI number 1134569049
LBN Legal business name Rainbow Pediatrics Pc Llc
DBA Doing business as
Authorized official Rezk, Ahmed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2013
Last updated Sep 23rd, 2021 - about 3 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 1134569049 NPPES
Florida MEDICAID 008959200

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