License holder summary

IDA VILLAVICENCI DE BACA is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for IDA VILLAVICENCI DE BACA is 1199 WEST FLAGLER STREET, #9, MIAMI, FL 33130. This doctor license is not current. The license was granted 01/01/1963 and expired on 01/31/2008.

Florida

Florida Board of Medicine

IDA VILLAVICENCI DE BACA
Department Of Health - Medical Doctor
License number
ME45388
Date granted
01/01/1963
Date expires
01/31/2008
Class
Department Of Health - Medical Doctor
Status
Retired
Address
1199 WEST FLAGLER STREET, #9, MIAMI, FL 33130
doctorsflorida.org
ID 21647385
LAST UPDATED 2024-05-01 10:49:58 UTC

This website is unaffiliated with the Florida Board of Medicine. Please verify all information directly with the relevant official government authority.

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