RAINBOW PEDIATRICS PC LLC
NPI 1134569049
Pediatrics in Panama City, FL

Active since June 25, 2013CLIA Certified · 2 labs
200 FOREST PARK CIR, PANAMA CITY, FL 32405(850) 257-5524(850) 257-5638 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rainbow Pediatrics Pc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAINBOW PEDIATRICS PC LLC (NPI 1134569049) is a healthcare organization registered as a pediatrics in Panama City, Florida and active in the NPI registry since June 2013. The organization holds 2 active CLIA laboratory certificates and lists Ahmed Rezk, Owner, as its authorized official.

NPPES Registry Identity

NPI1134569049
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRAINBOW PEDIATRICS PC LLC
Location Address200 FOREST PARK CIRPanama City, FL 32405-4915
Mailing AddressPo Box 578Lynn Haven, FL 32444-0578 · (850) 767-4777 · Fax (850) 763-4988
Fax(850) 257-5638
Organization SubpartNo
Authorized OfficialAhmed RezkOwner · (973) 356-6245
Enumeration DateJune 25, 2013
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1134569049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME105520
Definition
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License ME105520 (FL)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License ME105520 (FL)
200 FOREST PARK CIR, Panama City, FL 32405

Other Identifiers 1

Medicaid008959200FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2070279

Rainbow Pediatrics · Panama City, FL
Active · expires Dec 11, 2027
CLIA Number10D2070279
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAhmed E. Rezk
Laboratory Phone(850) 257-5524
Laboratory LocationRainbow Pediatrics200 Forest Park Circle, Panama City, FL 32405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2312106

Rainbow Pediatrics PC LLC · Panama City, FL
Active · expires Oct 3, 2026
CLIA Number10D2312106
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorAhmed Rezk
Laboratory Phone(850) 257-5524
Laboratory LocationRainbow Pediatrics PC LLC2515 Martin Luther King Jr Blvd, Panama City, FL 32405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
200 FOREST PARK CIR
PANAMA CITY, FL 32405
Pediatrics
200 FOREST PARK CIR
PANAMA CITY, FL 32405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rainbow Pediatrics PC LLC's NPI number?

The NPI number for Rainbow Pediatrics PC LLC is 1134569049. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Rainbow Pediatrics PC LLC located?

Rainbow Pediatrics PC LLC is located at 200 Forest Park Cir, Panama City, FL 32405. The listed phone number is (850) 257-5524.

What is Rainbow Pediatrics PC LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Rainbow Pediatrics PC LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Rainbow Pediatrics PC LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rainbow Pediatrics PC LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rainbow Pediatrics PC LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.