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NPI Code Detail

MEDICARE: ENCORE CLINICAL SERVICES LLC

MEDICARE: ENCORE CLINICAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist
2363L00000XNurse Practitioner

General Provider Information

NPI Number : 1184346140
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCORE CLINICAL SERVICES LLC
Provider Business Mailing Address
First Line : 12301 RIDGE RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3744
Country : US
Telephone Number : 440-582-3171
Fax Number : 440-582-3171
Provider Business Practice Location Address
First Line : 12301 RIDGE RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3744
Country : US
Telephone Number : 440-652-8748
Fax Number : 440-582-3171
Authorized Official
Title or Position : OWNER
Name : MR. MIROSLAV KESIC
Credential :
Telephone Number : 609-513-5006
Provider Enumeration Date : 09/16/2022
Last Update Date : 12/04/2025

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Directions to “ENCORE CLINICAL SERVICES LLC ” Practice Location

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