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:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	PR	14439
N	207K00000X	Physicians Allergy & Immunology	FL	ACN244

Other Provider Identifiers:

Issuer	Number	State	Type
FL PHYSICIAN LICENSE	ACN244	FL	01
CAQH ID	12542810		01
LICENCIA	14439	PR	01
	006732100	FL	05

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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