Active NPI
Weatherall Dermatology, P.a.,
- Clinic/Center
- Boca Raton, FL
National Provider Identifier
1154616647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WEATHERALL DERMATOLOGY, P.A.,
- Practice address
- 6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046 - Phone
- (561) 459-5050
- Fax
- (561) 347-1455
- NPI assigned
- Jun 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Giancola Weatherall, M.D.
- Title
- Owner
- Phone
- (561) 459-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046
Mailing address
6877 SW 18TH St
Suite H201
Boca Raton, FL 33433-7046
Phone (561) 459-5050
National Provider Directory
National Provider DirectoryLocations
6877 SW 18th St
Ste H201
Boca Raton, FL 33433
Phone (561) 347-1611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Boca Raton, FL
- NPI 1679503650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1154616647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6877 SW 18TH ST",
"address_2": "SUITE H201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337046",
"telephone_number": "561-459-5050",
"fax_number": "561-347-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6877 SW 18TH ST",
"address_2": "SUITE H201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337046",
"telephone_number": "561-459-5050",
"fax_number": "561-347-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEATHERALL DERMATOLOGY, P.A.,",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-13",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "WEATHERALL",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "GIANCOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-459-5050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Wayne-Oms, LLC (Gary J. Wayne, DMD Oral and Maxillofacial Surgery & Dental Implants)
- Gary Jon Wayne, D.M.D.
- WC Region 6 LLC (Wellness Care)
- We Care Nurse Registry,Inc. (We Care Nurse Registry Of Palm Beach)
- We Care Nursing, LLC
- William M Weathers, RPH
- Douglas Carl Weaver, PT, DPT
- Wendy Lynn Weaver, LMHC
- Daniel Meir Weber, D.C.
- Miriam Weber, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.