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MARCELLO A BORZATTA MD PA
NPI 1609090158
Surgery - Vascular Surgery in Crestview, FL

Active since April 13, 2007
435 BROOKMEADE DR, CRESTVIEW, FL 32539(850) 305-2105(239) 663-3061 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcello A Borzatta Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCELLO A BORZATTA MD PA (NPI 1609090158) is a healthcare organization registered as a vascular surgery in Crestview, Florida and active in the NPI registry since April 2007. The organization lists Marcello A Borzatta, President, as its authorized official.

NPPES Registry Identity

NPI1609090158
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMARCELLO A BORZATTA MD PA
Location Address435 BROOKMEADE DRCrestview, FL 32539-7304
Mailing Address2260 S Ferdon BlvdCrestview, FL 32536-8457 · (850) 305-2105 · Fax (239) 663-3061
Phone(850) 305-2105
Fax(239) 663-3061
Organization SubpartNo
Authorized OfficialMarcello A BorzattaPresident · (850) 849-1642
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1609090158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
435 BROOKMEADE DR, Crestview, FL 32539
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Other Identifiers 2

Other93788Bcbs
Medicaid277995100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERALD COAST UROLOGY, LLC
Urology
435 BROOKMEADE DR
CRESTVIEW, FL 32539
Okaloosa County (850) 605-0550
DR. JOSEPH WILLIAM PUGH M.D.
Urology
435 BROOKMEADE DR
CRESTVIEW, FL 32539
Okaloosa County (850) 605-0550
KATERINA FAGAN ACNPC-AG
Urology
435 BROOKMEADE DR
CRESTVIEW, FL 32539
Okaloosa County (850) 605-0550
DAVID A HERF, MD
Surgery
435 BROOKMEADE DR
CRESTVIEW, FL 32539
Okaloosa County (850) 682-0409
DR. DAVID ALLEN HERF MD
Surgery
435 BROOKMEADE DR
CRESTVIEW, FL 32539
Okaloosa County (850) 682-0409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcello A Borzatta MD PA's NPI number?

The NPI number for Marcello A Borzatta MD PA is 1609090158. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Marcello A Borzatta MD PA located?

Marcello A Borzatta MD PA is located at 435 Brookmeade Dr, Crestview, FL 32539. The listed phone number is (850) 305-2105.

What is Marcello A Borzatta MD PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Marcello A Borzatta MD PA was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.