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Organization

PANAMA CITY PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EEHAB A KENAWY M.D. (PRESIDENT)
(850) 747-3661
Entity
Organization

Contact information

Practice address
1937 HARRISON AVE, PANAMA CITY, FL 32405-4543
(850) 747-3048
(850) 747-0194
Mailing address
PO BOX 15697, PANAMA CITY, FL 32406-5697
(850) 747-3048
(850) 747-0194

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91470
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94947
BCBS FLORIDA
FL
Enumeration date
07/21/2006
Last updated
08/22/2020
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