Breakfast Point Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME10552 Issued in FL

Legal business name

BREAKFAST POINT PEDIATRICS INC

Practice address

10800 Panama City Beach Pkwy Ste 400
Panama City Beach, FL 32407-2532

Phone

(850) 249-3500

Fax

(850) 249-3530

NPI assigned

Nov 16, 2016

Last updated

Dec 29, 2017By the provider in NPPES

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.

Title

Owner

Phone

(973) 356-6245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1659813053",
    "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": "850-249-3500",
            "fax_number": "850-249-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PANAMA CITY BEACH PKWY STE 400",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072532",
            "telephone_number": "850-249-3500",
            "fax_number": "850-249-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKFAST POINT PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2017-12-29",
        "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": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME10552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sue Borst, P.T.
• Levee Bowen, RPH
• Tyler M Bowersox, DC
• Regina Ruth Bragiel, RN
• Christi Ann Brannon, MA, CCC-SLP
• Jordan Brewer, DPT
• Bridging the Gap Outpatient, LLC
• Bridging the Gap Recovery, LLC
• Lachristie Nicole Britton
• Krystal Marie Brown, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.