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Organization
SHAKER HEIGHTS SURGICAL CENTER, LLC
Active
Organization
SHAKER HEIGHTS SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS LIVA (MBR)
(954) 732-3800
Entity
Organization
Contact information
Practice address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(561) 368-7118
(561) 368-7116
Mailing address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0571AS
OH
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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