Individual
RAQUEL JOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12765 SW 42ND ST, MIAMI, FL 33175-3429
(786) 715-2505
(305) 603-9923
Mailing address
12765 SW 42ND ST, MIAMI, FL 33175-3429
(786) 715-2505
(305) 603-9923
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9279266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA359Z
MEDICARE PTAN
FL
Enumeration date
10/18/2012
Last updated
03/24/2025
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