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Individual

DR. BETTY WORRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
655 W 8TH ST, UFJP ANESTHESIA, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Mailing address
PO BOX 44008, UFJP ANESTHESIA DEPARTMENT, JACKSONVILLE, FL 32231-4008

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
055319
GA
207L00000X
Anesthesiology Physician
Primary
ME98354
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000982913Y
PEACHSTATE - MEDICAID CMO
GA
05
000982913Y
GA
01
319826
WELLCARE - MEDICAID CMO
GA
01
P00259671
NEXUS - RAILROAD MEDICARE
GA
Enumeration date
12/04/2006
Last updated
05/05/2010
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