MEDICARE: MA STYLES 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
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1518724780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MA STYLES LLC

Provider Business Mailing Address
First Line	:	6014 MAYFIELS RD
Second Line	:
City	:	MAYFIELD
State	:	OH
Zip	:	44124
Country	:	US
Telephone Number	:	216-326-3442
Fax Number	:

Provider Business Practice Location Address
First Line	:	6014 MAYFIELD RD
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-3205
Country	:	US
Telephone Number	:	216-326-3442
Fax Number	:

Authorized Official
Title or Position	:	CRANAIL PROSTHETIC SPECIALIST
Name	:	MARIA AMOS
Credential	:
Telephone Number	:	216-326-3442

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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Directions to “MA STYLES LLC ” Practice Location

Language	Start Address	Practice Location

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