Healthcare Provider Details

I. General information

NPI: 1346164860
Provider Name (Legal Business Name): WILLIAM JOHN ANDERSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 ANDERSON SNOW RD
SPRING HILL FL
34609-5202
US

IV. Provider business mailing address

6122 CEZANNE AVE
LUTZ FL
33558-2830
US

V. Phone/Fax

Practice location:
  • Phone: 352-340-5946
  • Fax:
Mailing address:
  • Phone: 813-406-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15962
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: