Healthcare Provider Details

I. General information

NPI: 1831519669
Provider Name (Legal Business Name): WILLIAM ANDREW MERIWETHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2014
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W KENNEDY BLVD STE 214
TAMPA FL
33609-2244
US

IV. Provider business mailing address

2330 W HORATIO ST
TAMPA FL
33609-3590
US

V. Phone/Fax

Practice location:
  • Phone: 813-727-3233
  • Fax:
Mailing address:
  • Phone: 813-727-3233
  • Fax: 833-941-5028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME136299
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME136299
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: