Vivencio Baitan, M.D

NPI 1619145372 · on the registry since 2008 · sole proprietor

Practice

Address: 7487 S State Road 121
Macclenny, FL 32063
Phone: (904) 259-6211
Fax: (904) 259-7104
Organisation at this address: Department Of Children & Familes
Northeast Florida State Hospital
Florida Department Of Children And Families
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: Surgery Physician
208600000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida