Organization
ABCO MEDICAL CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL M. ORRA D.O. (OWNER)
(216) 226-2626
Entity
Organization
Contact information
Practice address
13535 DETROIT AVE STE 4, LAKEWOOD, OH 44107-4625
(216) 226-2626
(216) 226-6745
Mailing address
PO BOX 357, NORTH OLMSTED, OH 44070-0357
(216) 226-2626
(216) 226-6745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-003811
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582570
—
OH
Enumeration date
03/28/2012
Last updated
03/28/2012
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