Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Boutrouille MD PA

Organization Psychiatry Physician · NPI 1720325574

Jacqueline Boutrouille MD PA provides Psychiatry Physician services in Tamarac, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7880 N University Dr Ste 303
Tamarac, FL 33321-2124 Not confirmed with CMS for 13 years — call before visiting
Phone: (954) 340-3000
Fax: (954) 636-8407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME87029 (FL)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence ME87029 (FL)

Record details

NPI number1720325574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Boutrouille — Owner · (954) 340-3000
NPI enumeratedJanuary 14, 2013
Last updated in NPPESMarch 27, 2013
Mailing address7880 N University Dr, Ste 303, Tamarac, FL 33321-2124

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