MEDICARE: SEAN WORIX PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9117388	FL

General Provider Information

NPI Number	:	1831886001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN WORIX PA-C

Provider Business Mailing Address
First Line	:	3705 TAMPA RD
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 TAMPA RD
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6300
Country	:	US
Telephone Number	:	813-891-6343
Fax Number	:	813-891-6342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	02/13/2024

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Directions to “ SEAN WORIX PA-C” Practice Location

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