Organization
GARCIA VASCULAR SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEOWELL GARCIA MD (SOLE MEMBER)
(440) 835-6182
Entity
Organization
Contact information
Practice address
29099 HEALTH CAMPUS DR STE 380, WESTLAKE, OH 44145-5276
(440) 835-6182
(440) 835-6183
Mailing address
PO BOX 451095, WESTLAKE, OH 44145-0627
(440) 835-6182
(440) 835-6183
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-093280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2941740
—
OH
Enumeration date
08/21/2018
Last updated
03/18/2019
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