Organization
JACQUE' INC
Active
Other names
Jacque' Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE M SMALL DMSC, PA-C (OWNER)
(786) 266-7591
Entity
Organization
Contact information
Practice address
3291 NE 2ND AVE STE 10, OAKLAND PARK, FL 33334-1101
(786) 496-4091
Mailing address
166 NW 103RD ST, MIAMI SHORES, FL 33150-1236
(786) 266-7591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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