Wortsman, Gary
Wortsman, Gary is an sole proprietor health care provider with primary practice located at 2 Fairfield Blvd Suite 5, Ponte Vedra Beach FL 32082-4626. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Wortsman, Gary can be contacted via phone (904) 543-1311.Contact Information
Primary practice address
2 Fairfield Blvd Suite 5
Ponte Vedra Beach FL 32082-4626
Phone: (904) 543-1311
Fax: (904) 543-1311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X |
Profile Details
| NPI number | 1437315512 |
|---|---|
| LBN Legal business name | Wortsman, Gary |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Jul 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437315512 | NPPES |
| Florida | Other | C7057 | BLUE CROSS BLUE SHIELD |
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