Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Marie Small, PA-C

Individual provider Medical Physician Assistant · NPI 1700939410

Jacqueline Marie Small, PA-C is a Physician Assistant in Miami, Florida. Qualified in 2009, 17 years ago. Practices with Drt Behavioral Services PLLC, a 7-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6015 NW 7th Ave
Miami, FL 33127-1109
Phone: (305) 756-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103968 (FL)

Record details

NPI number1700939410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Drt Behavioral Services Pllc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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