Organization · NPI-2
Rainbow Pediatrics PC LLC
Pediatrics · Panama City, FL
NPI number1134569049
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1134569049
- Entity type
- Organization (NPI-2)
- Legal business name
- Rainbow Pediatrics PC LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2013
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME105520 | FL | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | ME105520 | FL | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | ME105520 | FL |
Practice location
2515 Martin Luther King Jr BlvdPanama City, FL 32405-4414
Phone 850-257-5524 · Fax 850-257-5638
Mailing address
Po Box 578Lynn Haven, FL 32444-0578
Phone 850-257-5524 · Fax 850-257-5638
Other practice locations
2901 E Irlo Bronson Memorial Hwy Ste B
Kissimmee, FL 34744-5600
Kissimmee, FL 34744-5600
Phone 407-344-0021 · Fax 407-344-0043
870 Mack Bayou Rd Ste B
Santa Rosa Beach, FL 32459-7161
Santa Rosa Beach, FL 32459-7161
Phone 850-278-6535 · Fax 850-278-6537
10800 Panama City Beach Pkwy Ste 100
Panama City, FL 32407-2532
Panama City, FL 32407-2532
Phone 850-249-3500 · Fax 850-249-3530
238 Forest Park Cir
Panama City, FL 32405-4919
Panama City, FL 32405-4919
Phone 850-640-4341 · Fax 850-640-4362
Authorized official
Ahmed Rezk
Owner
9733566245
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