Jacqueline Marie Small in Miami Shores - Medical
Jacqueline Marie Small - NPI 1700939410
Jacqueline Marie Small is a Medical in Miami Shores, Florida. Jacqueline Marie Small practices all healthcare services and medical treatments related to Medical. The NPI Number for Jacqueline Marie Small is 1700939410. The last update date is 2007-07-08.
Jacqueline Marie Small's current location address is 166 Nw 103rd St, Miami Shores, Florida. You can contact this provider via phone number 7864434313 and fax number 3057625848. The mailing address for Jacqueline Marie Small is 166 Nw 103rd St, Miami Shores, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Marie Small |
|---|---|
| Address | 166 Nw 103rd St, Miami Shores, Florida |
| Phone Number | 7864434313 |
| Fax Number | 3057625848 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700939410 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 166 Nw 103rd St |
|---|---|
| City | Miami Shores |
| State | Florida (FL) |
| Post Code | 331501236 |
| Phone Number | 7864434313 |
| Fax Number | 3057625848 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103968 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Jacqueline Marie Small by the Centers for Medicare & Medicaid Services?
The Jacqueline Marie Small has been assigned the NPI (National Provider Identifier) 1700939410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jacqueline Marie Small's facilities are situated?
The facilities of Jacqueline Marie Small are physically located at the following address: 166 Nw 103Rd St, Miami Shores, FL, 331501236.
What is Jacqueline Marie Small's area of expertise and its corresponding taxonomy classification?
The Jacqueline Marie Small's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When was the Jacqueline Marie Small's 1700939410 issued?
The Jacqueline Marie Small's 1700939410 was issued on 2007-01-18.
When was the Jacqueline Marie Small's information last updated?
The Jacqueline Marie Small's information was last updated on 2007-07-08.
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