Provider Demographics
NPI:1730260373
Name:WERNTZ, JOANNE RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:RUTH
Last Name:WERNTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:808 MCINTYRE AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5000
Mailing Address - Country:US
Mailing Address - Phone:407-647-4909
Mailing Address - Fax:407-901-4466
Practice Address - Street 1:615 E PRINCETON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1456
Practice Address - Country:US
Practice Address - Phone:407-649-0101
Practice Address - Fax:407-901-4466
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME52279207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA51368Medicare UPIN
FL04951Medicare ID - Type Unspecified