Doctor Name: | MARCELLO BORZATTA |
NPI Number: | 1154368181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A40479 |
Business Practice Address: | 129 E. Redstone Ave Suite A Crestview, FL - 32539 |
Business Phone Number: | 8506827212 |
Business Fax Number: | |
Mailing Address: | 129 E. Redstone Ave, Suite A CRESTVIEW |
State: | FL |
Postal Code: | 32539 |
Phone Number: | 8506827212 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | A40479 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy 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. |