Dr Witni Balthazar, MD | |
1900 27th St, Vero Beach, FL 32960-3383 | |
(772) 794-7400 | |
(772) 794-7453 |
Full Name | Dr Witni Balthazar |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1900 27th St, Vero Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164625935 | NPI | - | NPPES |
000551400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN280 (Florida) | Primary |
Entity Name | Florida Department Of Children And Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
Entity Name | Florida Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841271715 PECOS PAC ID: 3072424282 Enrollment ID: O20100504000871 |
Mailing Address | Practice Location Address |
---|---|
Dr Witni Balthazar, MD 1900 27th St, Vero Beach, FL 32960-3383 Ph: (772) 794-7400 | Dr Witni Balthazar, MD 1900 27th St, Vero Beach, FL 32960-3383 Ph: (772) 794-7400 |
Dr. Laura Lynn Johnson, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 840 37th Pl, Ste 1n, Vero Beach, FL 32960 Phone: 772-978-9000 Fax: 772-978-9922 | |
Dr. Russell Leon Meetze, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1981 Sand Dollar Ln, Vero Beach, FL 32963 Phone: 772-581-8556 |