Marcello Borzatta
Vascular Surgeon
214 Covell Rd
Crestview
, Florida 32539-6060
Marcello Borzatta
Vascular Surgeon
214 Covell Rd
Crestview
, Florida 32539-6060
(484) 924-0053
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Marcello Borzatta
- Po Box 419076
- Boston, MA
- Zip : 02241-9076
- Fax : (484) 924-0053
- Phone : (610) 644-8900
Second Address
- Marcello Borzatta
- 214 Covell Rd
- Crestview, FL
- Zip : 32539-6060
- Phone : (504) 663-8438
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Is Marcello Borzatta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0129X | Vascular Surgeon | A40479 | CA |
| Y | 2086S0129X | Vascular Surgeon | ME97723 | FL |
National Provider Identifier
| NPI | 1154368181 |
|---|---|
| Provider Name | Marcello Borzatta |
| First Address | Boston, MA 02241-9076 |
| Second Address | Crestview, FL 32539-6060 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 26/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.