Healthcare Provider Details

I. General information

NPI: 1629357207
Provider Name (Legal Business Name): ANDREW HOBSON WESTMORELAND D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2011
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653-1 W 8TH ST
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

PO BOX 4408
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 662-371-3376
  • Fax: 612-294-4903
Mailing address:
  • Phone: 662-371-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0102205586
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberOS15991
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number109346
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: