Skidmore, Raquel
Skidmore, Raquel is an sole proprietor health care provider with primary practice located at 219 Forest Park Cir , Panama City FL 32405-4920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Skidmore, Raquel can be contacted via phone (850) 215-9418.Contact Information
Primary practice address
219 Forest Park Cir
Panama City FL 32405-4920
Phone: (850) 215-9418
Fax: (850) 215-9419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 14439 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ACN244 | Florida |
Profile Details
| NPI number | 1336137991 |
|---|---|
| LBN Legal business name | Skidmore, Raquel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Nov 30th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336137991 | NPPES |
| Florida | MEDICAID | 006732100 | |
| Florida | Other | ACN244 | |
| Florida | Other | 12542810 | |
| Florida | Other | 14439 |
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