NPI 1013492404

Jacquie Lynn Mathai, PAC

Practitioner Physician Assistant Boca Raton, FL

Practice location

Address: 370 Camino Gardens Blvd, Boca Raton, FL 33432-5816
Phone: (954) 456-4777
Mailing address: 8440 NW 24th St, Sunrise, FL 33322-3318

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9111498 (FL)

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Registry record

NPI: 1013492404
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2018
Record last updated: 11 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.