Dr. Witni Balthazar, M.D.
General Practice in Vero Beach, FL. Individual provider (NPI-1).
NPI number1164625935
StatusActive
Last updated in NPPESAug 25, 2014
Details
- NPI
- 1164625935
- Entity type
- Individual (NPI-1)
- Name
- Dr. Witni Balthazar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2007
- Last updated
- Aug 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN280 | FL | Yes |
Practice location
1900 27th StVero Beach, FL 32960-3383
Phone 772-794-7400 · Fax 772-794-7453
Mailing address
1900 27th StVero Beach, FL 32960-3383
Phone 772-794-7400 · Fax 772-794-7453
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