Marcello A Borzatta MD PA
NPI 1609090158ActiveOrganization· Surgery, Vascular Surgery· Crestview, FL
Surgery, Vascular Surgery in Crestview, Florida, registered in NPPES in April 2007. The authorized official on file is Marcello A. Borzatta, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609090158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2007 |
| Last updated in NPPES | May 24, 2024 |
| Certified by provider | May 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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