Rainbow Pediatrics PC LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME105520 Issued in FL

Legal business name

RAINBOW PEDIATRICS PC LLC

Practice address

2515 Martin Luther King Jr Blvd
Panama City, FL 32405-4414

Phone

(850) 257-5524

Fax

(850) 257-5638

NPI assigned

Jun 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahmed Rezk, M.D.NPI 1184838187

Title

Owner

Phone

(973) 356-6245

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Rainbow Pediatrics PC LLC Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rainbow Pediatrics PC LLC Beach

  • Pediatrics Physician
  • Panama City Beach, FL
  • NPI 1922779578
  NPD tax ID

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Elsayed Rezk, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1184838187
  NPD Authorized official
• Ahmad Alkilani, M.D.

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1245500438
  NPD
• Aimee R Bohn, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1881808921
  NPD (past)
• Melanie Ashleigh Eubanks, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1215295183
  NPD (past)
• Tiffany Diane Forrester, M.D.

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1316258502
  NPD (past)
• Kristi King Householder, APRN

  • Family Nurse Practitioner
  • Panama City Beach, FL
  • NPI 1326779489
  NPD (past)
• Janie Pitts, ARNP

  • Pediatric Nurse Practitioner
  • Panama City, FL
  • NPI 1679027254
  NPD (past)
• Ashley Elizabeth Reynolds, M.D.

  • Pediatrics Physician
  • Niceville, FL
  • NPI 1043573744
  NPD (past)
• Karen Indra Riggs, CPNP

  • Pediatric Nurse Practitioner
  • Panama City, FL
  • NPI 1952635427
  NPD (past)
• Tiffany Brenda Joy Roberts

  • Pediatric Nurse Practitioner
  • Panama City, FL
  • NPI 1629448543
  NPD (past)
• Edem Nguamon Timpo, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1366930265
  NPD (past)
• Emad A Eisa, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1366725749
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1134569049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440578",
            "telephone_number": "850-257-5524",
            "fax_number": "850-257-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054414",
            "telephone_number": "850-257-5524",
            "fax_number": "850-257-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Mack Bayou Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324597161",
            "country_code": "US",
            "telephone_number": "850-278-6535",
            "fax_number": "850-278-6537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Forest Park Cir",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054919",
            "country_code": "US",
            "telephone_number": "850-640-4341",
            "fax_number": "850-640-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Panama City Beach Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324072532",
            "country_code": "US",
            "telephone_number": "850-249-3500",
            "fax_number": "850-249-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 E Irlo Bronson Memorial Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445600",
            "country_code": "US",
            "telephone_number": "407-344-0021",
            "fax_number": "407-344-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-356-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105520",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME105520",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME105520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008959200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lulie Radford, PT
• Jay Michael Radtke, M.D.
• Christopher L. Raffield, R.PH.
• Debra Kay Raffield, MASSAGE THERAPIST
• Allison Elizabeth Nadeen Ragghianti, M.S.
• Rajni Patel MD PA
• Nichole Rambaran
• Genevieve Marie Rambau, M.D.
• Heather Ray Ramey, LCSW
• Scott L Ramey, MD

• Pediatrics Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.