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Organization

JACQUELINE VALDES-RAFULS, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE VALDES-RAFULS M.D. (DOCTOR)
(305) 273-7950
Entity
Organization

Contact information

Practice address
8000 SW 117TH AVE, SUITE #200, MIAMI, FL 33183-4803
(305) 273-7950
(305) 273-7954
Mailing address
8000 SW 117TH AVE, SUITE #200, MIAMI, FL 33183-4803
(305) 273-7950
(305) 273-7954

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0062887
FL
363AM0700X
Medical Physician Assistant
PAX0000707
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP2528362
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266167500
FL
05
373146400
FL
Enumeration date
01/27/2010
Last updated
02/12/2010
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