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DR. RAQUEL SKIDMORE MD

Allergy and Immunology

Panama City, Florida

Provider NPI: 1336137991

Provider Information:
DR. RAQUEL  SKIDMORE MD


Practice Location:
219 FOREST PARK CIR  PANAMA CITY, FL 32405 US
Tel: 850-215-9418  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
PR14439
N207K00000XPhysicians
Allergy & Immunology
FLACN244

Other Provider Identifiers:

IssuerNumberStateType
FL PHYSICIAN LICENSEACN244FL01
CAQH ID1254281001
LICENCIA14439PR01
006732100FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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