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Contact Information

JUSTIN M WEATHERALL, MD
3313 W HILLSBORO BLVD
DEERFIELD BEACH, FL33442-9423
 Phone: 954-571-9500
 Fax: 954-571-9560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTIN M WEATHERALL · (Male)

NPI Number 1669677928
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2007
Last updated 02/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME107403
  • NC License # 2010-01160
  • NY License # 250023
  • NC Medicaid 5917443
Hospital affiliation(s)
  • BOCA RATON REGIONAL HOSPITAL - (Acute Care)
    800 MEADOWS RD
    BOCA RATON, FL 33486
  • BROWARD HEALTH IMPERIAL POINT - (Acute Care)
    6401 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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