MEDICARE: DR. JUSTIN NEPA D.O.

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	2084P0800X	Psychiatry Physician	OS14988	FL

General Provider Information

NPI Number	:	1932512118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN NEPA D.O.

Provider Business Mailing Address
First Line	:	4611 S UNIVERSITY DR STE 246
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3817
Country	:	US
Telephone Number	:	954-603-4081
Fax Number	:	435-355-3710

Provider Business Practice Location Address
First Line	:	9900 W SAMPLE RD STE 405-1
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4048
Country	:	US
Telephone Number	:	954-603-4081
Fax Number	:	435-355-3710

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

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	03/02/2026

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Directions to “ DR. JUSTIN NEPA D.O.” Practice Location

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