Individual
DR. RAQUEL SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 FOREST PARK CIR, PANAMA CITY, FL 32405-4920
(850) 215-9418
(850) 215-9419
Mailing address
219 FOREST PARK CIRCLE, PANAMA CITY, FL 32405
(850) 215-9418
(850) 215-9419
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
14439
PR
207K00000X
Allergy & Immunology Physician
ACN244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006732100
—
FL
01
—
12542810
CAQH ID
—
01
—
14439
LICENCIA
PR
01
—
ACN244
FL PHYSICIAN LICENSE
FL
Enumeration date
10/07/2005
Last updated
11/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us