Organization
CLEVELAND FOOT AND ANKLE CLINIC
Active
Other names
Cleveland Foot and Ankle Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS V MELILLO DPM (PRESIDENT)
(216) 231-3300
Entity
Organization
Contact information
Practice address
4415 EUCLID AVE STE 110, CLEVELAND, OH 44103-3757
(216) 231-5612
(216) 721-5534
Mailing address
4415 EUCLID AVE STE 110, CLEVELAND, OH 44103-3757
(216) 231-5612
(216) 721-5534
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563848
—
OH
01
—
CH5179
RR MEDICARE GROUP #
OH
Enumeration date
03/22/2007
Last updated
06/13/2011
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