Individual
JACQUELINE W RAGHEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6970
(305) 545-6501
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 393-2420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301083054
MI
207L00000X
Anesthesiology Physician
ME166771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4632391
—
MI
Enumeration date
07/27/2006
Last updated
03/04/2024
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