Organization · NPI-2

Abco Medical Center, L.L.C.

Family Medicine · Lakewood, OH

NPI number1023384591
StatusActive
Last updated in NPPESMar 28, 2012

Details

NPI
1023384591
Entity type
Organization (NPI-2)
Legal business name
Abco Medical Center, L.L.C.
Organization subpart
No
Enumeration date
Mar 28, 2012
Last updated
Mar 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine34-003811OHYes

Practice location

13535 Detroit Ave Ste 4
Lakewood, OH 44107-4625

Phone 216-226-2626 · Fax 216-226-6745

Mailing address

Po Box 357
North Olmsted, OH 44070-0357

Phone 216-226-2626 · Fax 216-226-6745

Authorized official

Abdul M. Orra
Owner
2162262626

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