Organization
FPB CLINICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE DIANA GROSH NP (ADMINISTRATOR)
(216) 368-5337
Entity
Organization
Contact information
Practice address
2181 AMBLESIDE DR, CLEVELAND, OH 44106-4645
(216) 721-1234
Mailing address
2120 CORNELL ROAD NO215A, NO215A, CLEVELAND, OH 44106
(216) 368-5337
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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