JACQUELINE MARIE SMALL PA-C NPI 1700939410

NPI Information

  • NPI: 1700939410
  • Provider Name: JACQUELINE MARIE SMALL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6015 NW 7TH AVE
    MIAMI, FL
    ZIP 33127
  • Phone: (305) 756-5502

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NPI Details

Jacqueline Marie Small, PA-C is a medical physician assistant in Miami, FL with 16 years of experience. Jacqueline Marie Small, PA-C NPI is 1700939410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6015 NW 7TH AVE
MIAMI, FL
ZIP 33127-109
Phone: (305) 756-5502

The NPI 1700939410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9103968FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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