Individual
DR. VIVENCIO PACLIBAR BAITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
(904) 259-7104
Mailing address
7487 S STATE ROAD 121, MACCLENNY, FL 32063-5451
(904) 259-6211
(904) 259-7104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL549
FL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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