Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTINE HAZELCORN PA-C
NPI 1861316259
Physician Assistant in Fort Lauderdale, FL

Active since August 07, 2026
1316 SW 25TH AVE, FORT LAUDERDALE, FL 33312(561) 929-7798 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justine Hazelcorn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE HAZELCORN PA-C (NPI 1861316259) is an individual physician assistant in Fort Lauderdale, Florida and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1861316259
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUSTINE HAZELCORNCredential: PA-C
Location Address1316 SW 25TH AVEFort Lauderdale, FL 33312-3936
Mailing Address1316 Sw 25th AveFort Lauderdale, FL 33312-3936 · (561) 929-7798
Sole ProprietorYes
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
NPI 1861316259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1316 SW 25TH AVE, Fort Lauderdale, FL 33312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Hazelcorn's NPI number?

The NPI number for Justine Hazelcorn is 1861316259. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Justine Hazelcorn located?

Justine Hazelcorn practices at 1316 SW 25th Ave, Fort Lauderdale, FL 33312. The listed phone number is (561) 929-7798.

What is Justine Hazelcorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Justine Hazelcorn was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.