Individual
DR. JUSTIN MADISON WEATHERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3313 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9423
(954) 571-9500
(954) 571-9560
Mailing address
3313 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9423
(954) 571-9500
(954) 571-9560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2010-01160
NC
207X00000X
Orthopaedic Surgery Physician
250023
NY
207X00000X
Orthopaedic Surgery Physician
Primary
ME107403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917443
—
NC
Enumeration date
06/18/2007
Last updated
02/21/2015
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