Individual
GREGORY M WORSOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2002019268
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME150580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205913304
—
MO
Enumeration date
07/06/2006
Last updated
07/08/2021
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