WITNI BALTHAZAR

FLORIDA DEPARTMENT OF HEALTH

Dr WITNI BALTHAZAR is a male medical professional, specializing in General Practice. He graduated in 2005.

Contact

FLORIDA DEPARTMENT OF HEALTH

1900 27TH ST
VERO BEACH
FL
329603383

Tel: 7727947461

WITNI BALTHAZAR Information

Npi 1164625935
Pac Id 7012078397
Professional Enrollment Id I20081204000755
Last Name BALTHAZAR
First Name WITNI
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FLORIDA DEPARTMENT OF HEALTH
Group Practice Pac Id 3072424282
Number Of Group Practice Members 141
Line 1 Street Address 1900 27TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VERO BEACH
State FL
Zip Code 329603383
Phone Number 7727947461
Hospital Affiliation Ccn 1 100105
Hospital Affiliation Lbn 1 INDIAN RIVER MEMORIAL HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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