Individual
MR. ANDRZEJ RACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
814 JENKS AVE, PANAMA CITY, FL 32401
(850) 814-2155
Mailing address
7301 SUWANEE AVE, SOUTHPORT, FL 32409
(850) 814-2155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0021573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7733
BLUE CROSS PROVIDER
FL
Enumeration date
11/17/2006
Last updated
07/08/2007
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