Organization
OPTIMUM VITALITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI BLACK (BILLING CONSULTANT)
(216) 750-3427
Entity
Organization
Contact information
Practice address
464 RICHMOND RD STE 202, RICHMOND HEIGHTS, OH 44143-2704
(330) 824-4200
(440) 525-5564
Mailing address
464 RICHMOND RD STE 202, RICHMOND HEIGHTS, OH 44143-2704
(330) 824-4200
(440) 525-5564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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