Ingrid J Rachesky
Adolescent Medicine
2550 Jenks Ave
Panama City
, Florida 32405
Ingrid J Rachesky
Adolescent Medicine
2550 Jenks Ave
Panama City
, Florida 32405
(850) 763-2435
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ingrid J Rachesky
- 2550 Jenks Ave
- Panama City, FL
- Zip : 32405
- Fax : (850) 763-2435
- Phone : (850) 769-1481
Second Address
- Ingrid J Rachesky
- 2550 Jenks Ave
- Panama City, FL
- Zip : 32405
- Fax : (850) 763-2435
- Phone : (850) 769-1481
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | ME0044063 | FL |
National Provider Identifier
| NPI | 1154415610 |
|---|---|
| Provider Name | Ingrid J Rachesky |
| First Address | Panama City, FL 32405 |
| Second Address | Panama City, FL 32405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03618 | BCBS OF FLORIDA (01) | FL |
| D50762 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.