Jacque' INC
NPI #1073274171 in Oakland Park, Florida
Provider Information
- NPI Number
- 1073274171
- Entity Type
- Organization
- Organization Name
- Jacque' INC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 1, 2022
- Last Updated
- Jan 1, 2022
Practice Location
- Address
- 3291 NE 2ND AVE STE 10
- City
- Oakland Park
- State
- Florida
- ZIP Code
- 33334-1101
- Phone
- (786) 496-4091
Authorized Official
- Name
- DR. JACQUELINE M SMALL, DMSC, PA-C
- Title
- OWNER
- Phone
- (786) 266-7591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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