Individual
GARY WORTSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2 FAIRFIELD BLVD, SUITE 5, PONTE VEDRA BEACH, FL 32082-4626
(904) 543-1311
(904) 543-1311
Mailing address
2 FAIRFIELD BLVD, SUITE 5, PONTE VEDRA BEACH, FL 32082-4626
(904) 543-1311
(904) 543-1311
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7057
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/29/2008
Last updated
07/29/2008
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