Marcello, Alton

Marcello, Alton is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marcello, Alton can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N5221 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N5221 Texas

Profile Details

NPI number 1427245810
LBN Legal business name Marcello, Alton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2007
Last updated Oct 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427245810 NPPES
Texas MEDICAID 2104259

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