MARCELLO A BORZATTA MD PA


Address: 550 Redstone Ave W, Suite 430, Crestview, FL 32536-6428
Phone: 8503985090

MARCELLO A BORZATTA MD PA (NPI# 1609090158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609090158
Entity Type Organization
Organization Name MARCELLO A BORZATTA MD PA
Practice Address 550 Redstone Ave W
Suite 430
Crestview
FL 32536-6428
Mailing Address 2260 S Ferdon Blvd
#214
Crestview
FL 32536-8457
Practice Telephone 8503985090
Practice Fax Number 8503985097
Mailing Telephone 8503985090
Mailing Fax Number 8503985097
Enumeration Date 2007-04-13
Last Update Date 2008-06-23
Authorized Official Name MARCELLO A BORZATTA (OWNER AND PHYSICIAN)
Authorized Official Telephone 8503985090
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 93788 01
FL 277995100 05

Office Location

Street Address 550 REDSTONE AVE W
SUITE 430
City CRESTVIEW
State FL
Zip Code 32536-6428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730161126 Anne Denys Orthopaedic Surgery 550 Redstone Ave W, Ste 370, Crestview, FL 32536-6428 2005-11-19
1033642350 Charles Eugene Hewett IIi Specialist/Technologist 550 Redstone Ave W, Crestview, FL 32536-6428 2017-04-04
1740639731 Jung Hyun Koh Nurse Practitioner 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 2016-06-09
1942441795 Kara O Brooks Family Medicine 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 2009-03-07
1477738896 North Okaloosa Clinic Corp Durable Medical Equipment & Medical Supplies 550 Redstone Ave W, Ste. 370, Crestview, FL 32536-6428 2008-01-03
1851570071 Crestview Hospital Corporation Orthopaedic Surgery 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 2007-10-25
1154512358 Gary Charles Perez Physician Assistant 550 Redstone Ave W, Suite 370, Crestview, FL 32536-6428 2007-08-05
1528258159 Janet S Hamby Obstetrics & Gynecology 550 Redstone Ave W, Suite 450, Crestview, FL 32536-6432 2007-07-30
1033320312 Gregory Coates Obstetrics & Gynecology 550 Redstone Ave W, Suite 470, Crestview, FL 32536-6428 2007-05-25
1508911843 Dennis A Stewart Md Pa Surgery 550 Redstone Ave W, Ste 320, Crestview, FL 32536-6428 2007-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831684901 Eva Maria I Matute Adult Companion 6050 Trestle St, Crestview, FL 32536 2018-06-29
1669989232 Lauren Estep Flowers Physician Assistant 550 Redstone Ave W Ste 370, Crestview, FL 32536 2018-01-04
1427444868 Jessie Huisken Social Worker 5890 Saratoga Dr, Crestview, FL 32536 2015-04-13
1679846166 John D. Carlson Md Specialist 492 North Wilson Street, Crestview, FL 32536 2012-02-15
1154609691 Alternative Living, Inc. Assisted Living Facility 603 North Pearl Street, Crestview, FL 32536 2011-08-02
1487821526 Michael G Foley Md Pa Internal Medicine 524 James Lee Blvd W, Crestview, FL 32536 2008-05-08
1184805830 Advanced Family Medicine Clinic Inc Family Medicine 327 Medcrest Drive, Unit A, Crestview, FL 32536 2007-11-23
1164631511 Caring Hearts Pediatric Extended Care Center, Inc Clinic/Center 380 Medcrest Dr, Crestview, FL 32536 2007-05-22
1669697751 Crestview Chiropractic Clinic, Inc. Chiropractor 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 2007-04-16
1457492886 Roy M Nakaiye Dentist 222 Cedar Ave, Crestview, FL 32536 2007-02-09
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154368181 Marcello Borzatta Surgery 129 E. Redstone Ave, Suite A, Crestview, FL 32539 2006-05-31
1831503911 Artery and Vein Specialists of The Emerald Coast, Inc. Surgery 492 N Wilson St, Crestview, FL 32536-3442 2014-06-17
1023217908 Ginger Lynne Manos Surgery 492 N Wilson St, Crestview, FL 32536-3442 2007-07-12
1144270240 Okaloosa Cardiology P A Surgery 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104394857 George Scott Hall Sr. Surgery 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 2018-11-09
1316413115 Fox Vascular Experts, LLC Surgery 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 2018-10-18
1114417508 Vascular Center of Naples Inc. Surgery 5490 Bryson Dr Ste 201, Naples, FL 34109 2018-05-11
1598267593 Joseph D Stillword, Md Surgery 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 2018-03-06
1386157006 Beatriz Lam Surgery 2001 West 68 St, Cvicu, Hialeah, FL 33016 2017-11-16
1811421092 Sunrise Vascular Center Surgery 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 2017-04-14
1962891838 Global Trauma Systems, Inc Surgery 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 2015-01-15
1184013450 Vas-q-lar, Inc Surgery 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 2015-01-09
1396147138 Usa Vein Clinics of Miami, LLC Surgery 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 2014-09-24
1114336021 Florida Vein Center, Inc Surgery 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 2014-08-05
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Competitor

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City CRESTVIEW
Zip Code 32536

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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