# MEDICINA MEDICAL, LLC

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

## Provider details

- **NPI number:** 1134363823
- **Authorized official:** MR. MIGUEL SEMIDEY (PRESIDENT)
- **Authorized official phone:** (216) 551-0753

## Contact information

- **Practice address:** 4640 HINCKLEY INDUSTRIAL PKWY, SUITE 17, CLEVELAND, OH 44109-6017
- **Practice address phone:** (216) 551-0753
- **Practice address fax:** (866) 347-4070
- **Mailing address:** 4640 HINCKLEY INDUSTRIAL PKWY, SUITE 17, CLEVELAND, OH 44109-6017
- **Mailing address phone:** (216) 551-0753
- **Mailing address fax:** (866) 347-4070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | HMEL11370 | OH | Yes |

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 04/24/2009