DR. Vivencio Paclibar Baitan, M.D.

NPI #1619145372 in Macclenny, Florida

Provider Information

NPI Number: 1619145372
Entity Type: Individual
Name: DR. Vivencio Paclibar Baitan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Feb 15, 2008
Last Updated: Feb 15, 2008

Practice Location

Address: 7487 S STATE ROAD 121
City: Macclenny
State: Florida
ZIP Code: 32063-5451
Phone: (904) 259-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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