| Organization Name: | EMERALD COAST RHEUMATOLOGY LLC |
| NPI Number: | 1427346469 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AYMEN A. KENAWY (CEO / MEDICAL DIRECTOR) |
| Mailing Address: | 3890 Jenks Ave Lynn Haven |
| State: | FL US |
| Postal Code: | 324444701 |
| Phone Number: | 8502156400 |
| Fax Number: | 8502154440 |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 104930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |