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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VIVENCIO PACLIBAR BAITAN, M.D.

Active Sole Proprietor

DR. VIVENCIO PACLIBAR BAITAN, M.D. is a General Surgery healthcare provider located in MACCLENNY, Florida. NPI 1619145372 is currently active in the NPPES registry. Verify at CMS.

General Surgery · MACCLENNY, FL

Registration Details

NPI Number
1619145372
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2008 (18.516995224685 yrs)
Last Updated
Feb 15, 2008
License
LL549 (FL)
Sole Proprietor
Yes

Practice Information

Address
7487 S STATE ROAD 121
MACCLENNY, FL, 320635451
Browse FL providers · Browse ZIP 32063
Phone
9042596211
Fax
9042597104
Primary Specialty
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.