Individual
INGRID J RACHESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 JENKS AVE, PANAMA CITY, FL 32405
(850) 769-1481
(850) 763-2435
Mailing address
2550 JENKS AVE, PANAMA CITY, FL 32405
(850) 769-1481
(850) 763-2435
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME0044063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03618
BCBS OF FLORIDA
FL
Enumeration date
10/02/2006
Last updated
07/08/2007
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