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NPI Code Detail

MEDICARE: DR. MARCELO CASTELLO BRANCO MD

MEDICARE:  DR. MARCELO CASTELLO BRANCO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME56014FL
2207RC0001XClinical Cardiac Electrophysiology PhysicianME56014FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3060065398OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12500239OTHERUNITED HEALTHCARE
259043189BRAOTHERALBCBS OF ALABAMA
409471OTHERFLBCBS
55452027OTHERAETNA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972592715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCELO CASTELLO BRANCO MD
Provider Business Mailing Address
First Line : 125 BAPTIST WAY STE 3A
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2274
Country : US
Telephone Number : 448-227-6500
Fax Number : 850-857-1747
Provider Business Practice Location Address
First Line : 9400 UNIVERSITY PKWY STE 306
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-5485
Country : US
Telephone Number : 850-484-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 03/19/2024

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Directions to “ DR. MARCELO CASTELLO BRANCO MD” Practice Location

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