Organization
EMERALD COAST RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMEN A. KENAWY M.D. (CEO / MEDICAL DIRECTOR)
(850) 215-6400
Entity
Organization
Contact information
Practice address
3890 JENKS AVE, LYNN HAVEN, FL 32444-4701
(850) 215-6400
(850) 215-4440
Mailing address
3890 JENKS AVE, LYNN HAVEN, FL 32444-4701
(850) 215-6400
(850) 215-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
07/12/2011
Last updated
01/30/2026
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