Individual
DR. JOHN WARTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
(407) 875-0244
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
(407) 875-0244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD042959L
PA
207P00000X
Emergency Medicine Physician
Primary
ME99649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017643050005
—
PA
01
—
08696
BCBS
FL
05
—
279792500
—
FL
Enumeration date
02/21/2006
Last updated
07/08/2013
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