# CLEVELAND EAST VASCULAR CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND EAST VASCULAR CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518555382
- **Legal business name:** CLEVELAND EAST VASCULAR CARE, LLC
- **Authorized official:** LISA MCNAMARA (CFO)
- **Authorized official phone:** (239) 597-2010

## Contact information

- **Practice address:** 23650 COMMERCE PARK STE A, BEACHWOOD, OH 44122-5817
- **Practice address phone:** (239) 597-2010
- **Practice address fax:** (216) 378-9005
- **Mailing address:** 9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
- **Mailing address phone:** (239) 597-2010
- **Mailing address fax:** (239) 597-2313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 282NC0060X | Critical Access Hospital | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2021
- **Last updated:** 01/06/2021