# EASTSHORE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023561941
- **Authorized official:** MICHAEL CAPOBIANCO (OWNER)
- **Authorized official phone:** (216) 302-1500

## Contact information

- **Practice address:** 26300 EUCLID AVE STE 333, EUCLID, OH 44132-3702
- **Practice address phone:** (216) 302-1500
- **Practice address fax:** (216) 302-1520
- **Mailing address:** 26300 EUCLID AVE STE 333, EUCLID, OH 44132-3702
- **Mailing address phone:** (216) 302-1500
- **Mailing address fax:** (216) 302-1520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016