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Individual

RAFAELA GJONDREKAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
Mailing address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 333-2142

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
75000161A
IN
367H00000X
Anesthesiologist Assistant
Primary
AA779
FL

Other

Enumeration date
10/12/2022
Last updated
02/26/2024
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