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NPI Code Detail

MEDICARE: PETER MILOTA LLC

MEDICARE: PETER MILOTA 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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871258616
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER MILOTA LLC
Provider Business Mailing Address
First Line : 2460 FAIRMOUNT BLVD STE 317
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-3164
Country : US
Telephone Number : 216-299-7717
Fax Number : 440-234-2072
Provider Business Practice Location Address
First Line : 2460 FAIRMOUNT BLVD STE 317
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-3164
Country : US
Telephone Number : 216-299-7717
Fax Number :
Authorized Official
Title or Position : OWNER / LISW
Name : PETER MILOTA
Credential : LISW
Telephone Number : 216-299-7717
Provider Enumeration Date : 11/06/2021
Last Update Date : 08/30/2025

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