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:
Authorized official contact:
Name: Borzatta, Marcello A Doctor of Medicine (MD)
Phone: (850) 849-1642
Health care specialties
Specialty | Code | License # | 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 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609090158 | NPPES |
Other | 93788 | BCBS | |
MEDICAID | 277995100 | BCBS |
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