MEDICARE: DR. JUSTIN MADISON WEATHERALL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	250023	NY
2	207X00000X	Orthopaedic Surgery Physician	ME107403	FL
3	207X00000X	Orthopaedic Surgery Physician	2010-01160	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669677928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN MADISON WEATHERALL M.D.

Provider Business Mailing Address
First Line	:	3313 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:	954-571-9560

Provider Business Practice Location Address
First Line	:	3313 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:	954-571-9560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	02/21/2015

Similar Medicare Providers

1366483307 — MARC ARTHUR SWERDLOFF MD
Practice Location Address:

3313 W HILLSBORO BLVD STE 100
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 561-955-4600
Practice Fax: 561-955-2531

1609802008 — ANTHONY J SALVADOR P.A.-C
Practice Location Address:

3313 W HILLSBORO BLVD STE 202
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 954-571-9500
Practice Fax: 954-571-9560

1295926731 — DR. JAMES ROBERT ROSS JR. MD
Practice Location Address:

3313 W HILLSBORO BLVD
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 954-571-9500
Practice Fax: 954-571-9560

1699003475 — ASHLEE MORSE ATC
Practice Location Address:

3313 W HILLSBORO BLVD , SUITE 202
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 561-955-4298
Practice Fax:

1811293053 — JONATHAN COURTNEY MD
Practice Location Address:

3313 W HILLSBORO BLVD , SUITE 202
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 954-571-9500
Practice Fax:

1518257666 — DR. JASON PERRY M.D.
Practice Location Address:

3313 W HILLSBORO BLVD
DEERFIELD BEACH, FL
33442-9423

Practice Phone: 954-571-9500
Practice Fax: 954-571-9560

Directions to “ DR. JUSTIN MADISON WEATHERALL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.