Provider Demographics
NPI:1447967971
Name:WHITNEY, ANDREW JAMES (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 SUMMERLAND KEY ST APT 307
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2758
Mailing Address - Country:US
Mailing Address - Phone:513-518-7630
Mailing Address - Fax:
Practice Address - Street 1:12110 SUMMERLAND KEY ST APT 307
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2758
Practice Address - Country:US
Practice Address - Phone:513-518-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14229111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation