Marcello A Borzatta Md Pa

LBN: Marcello A Borzatta Md Pa
Marcello A Borzatta Md Pa is an health care organization with primary practice located at 435 Brookmeade Dr , Crestview FL 32539-7304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Marcello A Borzatta Md Pa can be contacted via phone (850) 305-2105, or through Borzatta, Marcello A via phone (850) 849-1642.

Contact Information

Primary practice address
435 Brookmeade Dr Crestview FL 32539-7304
Phone: (850) 305-2105
Fax: (239) 663-3061
Website:
Map and Directions
Authorized official contact:
Name: Borzatta, Marcello A Doctor of Medicine (MD)
Phone: (850) 849-1642

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1609090158
LBN Legal business name Marcello A Borzatta Md Pa
DBA Doing business as
Authorized official Borzatta, Marcello A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated May 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609090158 NPPES
Other 93788 BCBS
MEDICAID 277995100 BCBS

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