MEDICARE: DR. JOHN K WORZ D.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	111N00000X	Chiropractor	CH0005442	FL

General Provider Information

NPI Number	:	1891997888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN K WORZ D.C.

Provider Business Mailing Address
First Line	:	150 KENT RD
Second Line	:	SUITE 1A
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-6350
Country	:	US
Telephone Number	:	904-797-2354
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 KENT RD
Second Line	:	SUITE 1A
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-6350
Country	:	US
Telephone Number	:	904-797-2354
Fax Number	:

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

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. JOHN K WORZ D.C.” Practice Location

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