Individual
MS. ALLISON ANNE RACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7000 SPYGLASS CT, STE 220, VIERA, FL 32940-8288
(321) 752-5994
(321) 752-5494
Mailing address
1286 FLORIDA AVE S, ROCKLEDGE, FL 32955-2484
(321) 636-7780
(321) 636-1150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00369245
RR MEDICARE
FL
Enumeration date
12/21/2005
Last updated
12/03/2013
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