Provider Demographics
NPI:1801027156
Name:MARCELO, CLAUDIA (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:MARCELO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 NE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5463
Mailing Address - Country:US
Mailing Address - Phone:954-342-1884
Mailing Address - Fax:
Practice Address - Street 1:100 E MCNAB RD STE B
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9240
Practice Address - Country:US
Practice Address - Phone:786-422-1776
Practice Address - Fax:954-417-6105
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10719207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFA673Medicare PIN