Healthcare Provider Details

I. General information

NPI: 1144978511
Provider Name (Legal Business Name): ANDREW ZEIGLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 12/10/2022
Certification Date: 12/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11115 SPRING HILL DR
SPRING HILL FL
34609-4649
US

IV. Provider business mailing address

105 MARINER BLVD
SPRING HILL FL
34609-5625
US

V. Phone/Fax

Practice location:
  • Phone: 352-346-0680
  • Fax:
Mailing address:
  • Phone: 352-200-5835
  • Fax: 352-200-5836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number37533
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS65325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: