Organization
CLEVELAND SHOULDER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN GOBEZIE MD (PRESIDENT)
(440) 995-2767
Entity
Organization
Contact information
Practice address
29001 CEDAR RD STE 300, LYNDHURST, OH 44124-4041
(440) 995-2767
(216) 201-6364
Mailing address
1000 AUBURN DR # 200, BEACHWOOD, OH 44122-4317
(440) 995-2767
(216) 201-6364
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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