Individual
MARCELLO A BORZATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2260 S FERDON BLVD, CRESTVIEW, FL 32536-8457
(850) 849-1642
Mailing address
2260 S FERDON BLVD, CRESTVIEW, FL 32536-8457
(850) 849-1674
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
A40479
CA
2086S0129X
Vascular Surgery Physician
Primary
ME97723
FL
Other
Enumeration date
05/31/2006
Last updated
05/24/2024
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