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10D1022451 CLIA NUMBER - EMERALD COAST PEDIATRICS & ADOL EEHAB A KENAWY MD

Laboratory Demographics

CLIA Number: 10D1022451

Facility Name: EMERALD COAST PEDIATRICS & ADOL EEHAB A KENAWY MD

Facility Address:
621 W BALDWIN RD STE A
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 747-3661

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1790130250

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 10D1022451
LAB Type Physician Office
Facility Name EMERALD COAST PEDIATRICS & ADOL EEHAB A KENAWY MD
Street 621 W BALDWIN RD STE A
City PANAMA CITY
State FL
ZIP 32405
Phone 850 747-3661
CertificateType 4
CertificateEffectiveDate 2/17/2024
CertificateExpirationDate 2/16/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024