# JACQUE' INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacque' Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073274171
- **Authorized official:** DR. JACQUELINE M SMALL DMSC, PA-C (OWNER)
- **Authorized official phone:** (786) 266-7591

## Contact information

- **Practice address:** 3291 NE 2ND AVE STE 10, OAKLAND PARK, FL 33334-1101
- **Practice address phone:** (786) 496-4091
- **Mailing address:** 166 NW 103RD ST, MIAMI SHORES, FL 33150-1236
- **Mailing address phone:** (786) 266-7591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/01/2022
- **Last updated:** 01/01/2022