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Contact Information

RAINBOW PEDIATRICS PC LLC
200 FOREST PARK CIR
PANAMA CITY, FL32405-4915
 Phone: 850-257-5524
 Fax: 850-257-5638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RAINBOW PEDIATRICS PC LLC

NPI Number 1134569049
LBN Legal business name RAINBOW PEDIATRICS PC LLC
Authorized official AHMED REZK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2013
Last updated 09/23/2021 - About 5 years ago
Identifiers
FL License # ME105520
FL Medicaid 008959200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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