Individual
DR. RAFINE MORENO-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8720 N KENDALL DR STE 118, MIAMI, FL 33176-2208
(305) 686-9977
(786) 497-3226
Mailing address
16082 SW 63RD TER, MIAMI, FL 33193-5576
(787) 568-9065
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
329404
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME141744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125123000
—
FL
05
—
2578014
—
LA
01
—
329404
STATE LICENSE
LA
Enumeration date
05/15/2014
Last updated
04/17/2025
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