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1790130250
EMERALD COAST PEDIATRICS & ADOLESCENTS
PANAMA CITY, FL
NPI
1790130250
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Entity Type
Organization
Authorized Contact
EEHAB A KENAWY
Owner
850-747-3661
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL me86651)
Enumeration Date
2016-05-03
Last Update Date
2016-05-03
Business Address
EMERALD COAST PEDIATRICS & ADOLESCENTS
621 W BALDWIN RD STE A
PANAMA CITY, FL 32405-3364
Phone number: 850-747-3661
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Mailing Address
EMERALD COAST PEDIATRICS & ADOLESCENTS
621 W BALDWIN RD STE A
PANAMA CITY, FL 32405-3364
Phone number: 850-747-3661
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