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Organization
CLEVELAND FOOT AND ANKLE CLINIC
Active
Organization
CLEVELAND FOOT AND ANKLE CLINIC
Active
Parent organization
OHIO COLLEGE OF PODIATRIC MEDICINE
Other names
Cleveland Foot and Ankle Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO COLLEGE OF PODIATRIC MEDICINE
Authorized official
DR. THOMAS V MELILLO DPM (PRESIDENT)
(800) 238-7903
Entity
Organization
Contact information
Practice address
6000 ROCKSIDE WOODS BLVD N, INDEPENDENCE, OH 44131-7304
(800) 238-7903
Mailing address
6000 ROCKSIDE WOODS BLVD N, INDEPENDENCE, OH 44131-7304
(800) 238-7903
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844346
—
OH
01
—
CH5179
RR MEDICARE
OH
Enumeration date
05/12/2008
Last updated
02/24/2011
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