Organization
MEDICAL CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA BOYD SMIRNOFF (PRESIDENT)
(216) 621-5275
Entity
Organization
Contact information
Practice address
1250 SUPERIOR AVENUE, CLEVELAND, OH 44114
(216) 621-5275
(216) 621-6711
Mailing address
1250 SUPERIOR AVENUE, CLEVELAND, OH 44114
(216) 621-5275
(216) 621-6711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171484
—
OH
01
—
7374044
AETNA
—
Enumeration date
10/11/2006
Last updated
09/11/2025
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