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JACLYN PINE PA-C
NPI 1710523527
Physician Assistant in Boca Raton, FL

Active since November 27, 2019
600 S DIXIE HWY STE 103, BOCA RATON, FL 33432(561) 806-6835(561) 806-6607 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2020, Nov 27, 2019 (2 updates tracked since 2019).

About Jaclyn Pine Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN PINE PA-C (NPI 1710523527) is an individual physician assistant in Boca Raton, Florida, licensed in Florida (PA9112593) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1710523527
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN PINECredential: PA-C
Location Address600 S DIXIE HWY STE 103Boca Raton, FL 33432-6034
Mailing Address600 S Dixie Hwy Ste 103Boca Raton, FL 33432-6034 · (561) 430-3629 · Fax (561) 990-7435
Phone(561) 806-6835
Fax(561) 806-6607
Sole ProprietorNo
Enumeration DateNovember 27, 2019
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
✔ NPI 1710523527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112593
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
600 S DIXIE HWY STE 103, Boca Raton, FL 33432
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Other Names 1

Other Name (5)Jackie Pine

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS COMMUNITY HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
600 S DIXIE HWY STE 103
BOCA RATON, FL 33432
Palm Beach County (561) 430-3629
ALLISON MARIE SHEIN HOLLEY M.D.
Family Medicine
600 S DIXIE HWY STE 103
BOCA RATON, FL 33432
Palm Beach County (561) 430-3629
DR. SARAH WIGGILL M.D.
Family Medicine
600 S DIXIE HWY STE 103
BOCA RATON, FL 33432
Palm Beach County (561) 430-3629
RAVI JOSEPH NAGRAJ M.D.
Internal Medicine
600 S DIXIE HWY STE 103
BOCA RATON, FL 33432
Palm Beach County (561) 430-3629
LISETTE MANNING MD
Nurse Practitioner (Family)
600 S DIXIE HWY STE 103
BOCA RATON, FL 33432
Palm Beach County (561) 430-3629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Pine's NPI number?

The NPI number for Jaclyn Pine is 1710523527. It was assigned to this individual provider in the NPPES registry on November 27, 2019. The provider is also known as Jackie Pine.

Where is Jaclyn Pine located?

Jaclyn Pine practices at 600 S Dixie Hwy Ste 103, Boca Raton, FL 33432. The listed phone number is (561) 806-6835.

What is Jaclyn Pine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Pine was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.