Provider Demographics
NPI:1093990376
Name:WORMAN FOOT AND ANKLE ASSOCIATES
Entity Type:Organization
Organization Name:WORMAN FOOT AND ANKLE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-547-0000
Mailing Address - Street 1:9726 TAYLOR ROSE LN
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2288
Mailing Address - Country:US
Mailing Address - Phone:727-547-0000
Mailing Address - Fax:727-547-0008
Practice Address - Street 1:7500 BRYAN DAIRY RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1437
Practice Address - Country:US
Practice Address - Phone:727-547-0000
Practice Address - Fax:727-547-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3196213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty