# CLEVELAND EAST VASCULAR CARE, LLC

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

## Provider details

- **NPI number:** 1720509722
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 23650 COMMERCE PARK STE A, BEACHWOOD, OH 44122-5817
- **Practice address phone:** (216) 273-8010
- **Practice address fax:** (216) 378-9005
- **Mailing address:** 9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
- **Mailing address phone:** (239) 597-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 02/05/2026