Individual
DR. RAKIYA VONITA FAULKNER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1577 ROBERTS DR STE 323, JACKSONVILLE BEACH, FL 32250-3266
(904) 241-9775
Mailing address
1577 ROBERTS DR STE 323, JACKSONVILLE BEACH, FL 32250-3266
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
TRN28526
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN28526
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
06/07/2023
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