Individual
ANDREW DAVID WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
13770 PLANTATION RD # 103, FORT MYERS, FL 33912-4460
(941) 444-0011
(603) 952-3900
Mailing address
4815 FRATTINA ST, AVE MARIA, FL 34142-5121
(971) 275-3741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120283
FL
363AM0700X
Medical Physician Assistant
PA173943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500698127
—
OR
Enumeration date
09/17/2014
Last updated
12/11/2025
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