| Weatherall Dermatology, P.A., | |
|
6877 Sw 18th St Suite H201 Boca Raton FL 33433-7046 | |
| (561) 459-5050 | |
| (561) 347-1455 |
| Full Name | Weatherall Dermatology, P.A., |
|---|---|
| Speciality | Clinic/center |
| Location | 6877 Sw 18th St, Boca Raton, Florida |
| Authorized Official Name and Position | Angela Giancola Weatherall (OWNER) |
| Authorized Official Contact | 5614595050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weatherall Dermatology, P.A., 6877 Sw 18th St Suite H201 Boca Raton FL 33433-7046 Ph: (561) 459-5050 | Weatherall Dermatology, P.A., 6877 Sw 18th St Suite H201 Boca Raton FL 33433-7046 Ph: (561) 459-5050 |
| NPI Number | 1154616647 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154616647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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