Individual
DR. MARCELO CASTELLO BRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 UNIVERSITY PKWY STE 306, PENSACOLA, FL 32514-5485
(850) 484-6500
Mailing address
125 BAPTIST WAY STE 3A, PENSACOLA, FL 32503-2274
(448) 227-6500
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME56014
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME56014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962410
—
AL
01
—
060065398
RAILROAD MEDICARE
—
05
—
061495500
—
FL
01
—
09471
BCBS
FL
01
—
2500239
UNITED HEALTHCARE
—
01
—
5452027
AETNA
—
01
—
59043189BRA
BCBS OF ALABAMA
AL
Enumeration date
10/14/2005
Last updated
03/19/2024
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