DR. RAQUEL SKIDMORE


Address: 219 Forest Park Cir, Panama City, FL 32405-4920
Phone: 8502159418

DR. RAQUEL SKIDMORE (NPI# 1336137991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336137991
Entity Type Individual
Full Name DR. RAQUEL SKIDMORE
Other Name DR. RAQUEL SKIDMORE
Credential MD
Practice Address 219 Forest Park Cir
Panama City
FL 32405-4920
Mailing Address 219 Forest Park Circle
Panama City
FL 32405
Practice Telephone 8502159418
Practice Fax Number 8502159419
Mailing Telephone 8502159418
Mailing Fax Number 8502159419
Enumeration Date 2005-10-07
Last Update Date 2016-11-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology ACN244 FL Allopathic & Osteopathic Physicians
Y 207K00000X Allergy & Immunology 14439 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL FL PHYSICIAN LICENSE ACN244 01
CAQH ID 12542810 01
PR LICENCIA 14439 01
FL 006732100 05

Office Location

Street Address 219 FOREST PARK CIR
City PANAMA CITY
State FL
Zip Code 32405-4920

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1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548372873 Randall Humphreys P A Allergy & Immunology 2401 Saint Andrews Blvd, Panama City, FL 32405-2170 2006-08-31
1558336503 Randall F Humphreys Allergy & Immunology 2401 St Andrews Blvd, Panama City, FL 32405 2006-02-22
1043298151 Hind Obid Allergy & Immunology 951 W 23rd St, Panama City, FL 32405-3928 2006-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700419876 North Star Allergy, Asthma, & Immunology, P.a. Allergy & Immunology 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 2020-02-18
1528604253 Mark Minor Md Pa Allergy & Immunology 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 2019-11-18
1194366963 Ami Degala, Pllc Allergy & Immunology 40 Forest Ct, Palm Harbor, FL 34683-3811 2019-10-03
1407408586 Priya Ahya Allergy & Immunology 817 S University Dr Ste 106, Plantation, FL 33324-3345 2019-07-10
1770143729 Melissa Michelle Swertfeger Allergy & Immunology 6233 66th St N, Pinellas Park, FL 33781-5025 2019-06-20
1235612771 Luis Enrique Morera Allergy & Immunology 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 2018-09-11
1215417191 Allergy, Asthma and Immunology Specialists, LLC Allergy & Immunology 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 2018-08-20
1811475213 Juan Guillermo Angel Allergy & Immunology 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 2018-07-30
1831682814 Lake Allergy, Asthma and Immunology, Pa Allergy & Immunology 1822 Salk Ave, Tavares, FL 32778-4300 2018-06-13
1194191346 Jo Ridley LLC Allergy & Immunology 16372 Hibiscus Rd, Brooksville, FL 34601-4352 2015-08-11
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Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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