Individual
LETICIA S WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102612
FL
363AM0700X
Medical Physician Assistant
Primary
PA9102612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349700
—
FL
01
—
P00192130
RAILROAD MEDICARE
FL
Enumeration date
06/17/2005
Last updated
04/09/2026
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