| Organization Name: | J. MICHAEL VENTO, M.D. |
| NPI Number: | 1093841348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J. MICHAEL VENTO (PRESIDENT) |
| Mailing Address: | 34600 Chardon Rd Building 3 Willoughby |
| State: | OH US |
| Postal Code: | 440948480 |
| Phone Number: | 4404602828 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 35052241 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |