Organization
INGRID J RACHESKY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE SMILEY (OFFICE MANAGER)
(850) 769-1481
Entity
Organization
Contact information
Practice address
2550 JENKS AVE, PANAMA CITY, FL 32405-4310
(850) 769-1481
(850) 763-2435
Mailing address
2550 JENKS AVE, PANAMA CITY, FL 32405-4310
(850) 769-1481
(850) 763-2435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME44063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03618
BCBS
—
05
—
371516700
—
FL
Enumeration date
01/30/2015
Last updated
01/30/2015
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