Provider Demographics
NPI:1023102233
Name:WERTMAN, WILLIAM HARRY JR (DC, DIBCN, FIBE)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HARRY
Last Name:WERTMAN
Suffix:JR
Gender:M
Credentials:DC, DIBCN, FIBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E ROBINSON ST STE 1120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1962
Mailing Address - Country:US
Mailing Address - Phone:407-329-2571
Mailing Address - Fax:
Practice Address - Street 1:200 E ROBINSON ST STE 1120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1962
Practice Address - Country:US
Practice Address - Phone:407-329-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11744111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU82872Medicare UPIN
PA043992Medicare ID - Type Unspecified