Organization · Type 2 NPI

Cleveland Medical Management LLC

Clinic/Center · Willard, OH

NPI number 1306774500 Active

Practice location

117 Blossom Centre Blvd Ste 105
Willard, OH 44890-9317

Fax (513) 712-4573

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

About NPI 1306774500

Cleveland Medical Management LLC's National Provider Identifier is 1306774500, issued on May 11, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Willard, OH. The record was last updated on May 11, 2026.