Organization
JUBILEE HEALTHCARE, LLC
Active
Other names
North Shore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED DEGRANDIS (PRESIDENT)
(216) 312-5059
Entity
Organization
Contact information
Practice address
36711 AMERICAN WAY, SUITE A, AVON, OH 44011-4062
(440) 653-6091
(440) 653-8089
Mailing address
36711 AMERICAN WAY, SUITE A, AVON, OH 44011-4062
(440) 653-6091
(440) 653-8089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
07/26/2016
Last updated
02/21/2017
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