Jacqueline Boutrouille Md Pa
Addiction Psychiatry Clinic
7880 N University Dr, Ste 303, Tamarac
Florida, 33321-2124
954-340-3000 954-636-8407
Maps & DirectionsJacqueline Boutrouille Md Pa is a Addiction Psychiatry Clinic in Tamarac, Florida. It is located at 7880 N University Dr, Ste 303, Tamarac, FL and its contact number is 954-340-3000. The authorized person for Jacqueline Boutrouille Md Pa is Jacqueline D Boutrouille
who is Owner of the clinic and his/her contact number is 954-340-3000. The primary license number for Jacqueline Boutrouille Md Pa is ME87029 (Psychiatry) in Florida.
Jacqueline Boutrouille Md Pa Clinic focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Clinic Profile:
Jacqueline Boutrouille Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jacqueline Boutrouille Md Pa |
| Specialization: | Addiction Psychiatry |
| Clinic Address: | 7880 N University Dr, Ste 303, Tamarac,
Florida, 33321-2124 |
| Phone: | 954-340-3000 |
| Fax: | 954-636-8407 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jacqueline D Boutrouille |
| Position: | Owner |
| Contact Number: | 954-340-3000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jacqueline Boutrouille Md Pa clinic are as mentioned below.
| NPI Number: | 1720325574 |
| NPI Enumeration Date: | 14 Jan, 2013 |
| NPI Last Update On: | 27 Mar, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Boutrouille Md Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | ME87029 | Florida | Primary | |
| Addiction Psychiatry | ME87029 | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 268083100 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacqueline Boutrouille Md Pa
7880 N University Dr, Ste 303
Tamarac, Florida |
| Zip: | 33321-2124 |
| Phone Number: | 954-340-3000 |
| Fax Number: | 954-636-8407 |
Patients can reach Jacqueline Boutrouille Md Pa at
7880 N University Dr, Ste 303, Tamarac, Florida or can
call to book an appointment on 954-340-3000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.