Fortaleza,llc - Primary Care in Elyria, OH

Fortaleza,llc is a primary clinic (General Practice) in Elyria, Ohio. The current practice location for Fortaleza,llc is 41641 N Ridge Rd Ste B, Elyria, Ohio. For appointments, you can reach them via phone at (440) 324-7406. The mailing address for Fortaleza,llc is 620 Bear Run Ln Ste B, Lewis Center, Ohio and phone number is (614) 706-5206.

Fortaleza,llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1427567445. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (440) 324-7406.

Contact Information

Fortaleza,llc
41641 N Ridge Rd Ste B
Elyria
OH 44035-1264
(440) 324-7406
Not Available

Primary Care Clinic Profile

Full NameFortaleza,llc
SpecialityGeneral Practice
Location41641 N Ridge Rd Ste B, Elyria, Ohio
Authorized Official Name and PositionAnthony Villa (PRESIDENT)
Authorized Official Contact4403247406
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fortaleza,llc
620 Bear Run Ln Ste B
Lewis Center
OH 43035-8299

Ph: (614) 706-5206
Fortaleza,llc
41641 N Ridge Rd Ste B
Elyria
OH 44035-1264

Ph: (440) 324-7406

NPI Details:

NPI Number1427567445
Provider Enumeration Date09/21/2017
Last Update Date03/17/2018

Medical Identifiers

Medical identifiers for Fortaleza,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427567445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Secondary
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
291U00000XClinical Medical Laboratory (* (Not Available))Secondary

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