| Lifexl Llc | |
|
5602 Marquesas Cir Ste 107 Sarasota FL 34233-3310 | |
| (941) 266-4469 | |
| Not Available |
| Full Name | Lifexl Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5602 Marquesas Cir, Sarasota, Florida |
| Authorized Official Name and Position | Lazo Pipovski (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9417025972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifexl Llc 5602 Marquesas Cir Ste 107 Sarasota FL 34233-3310 Ph: (941) 702-5972 | Lifexl Llc 5602 Marquesas Cir Ste 107 Sarasota FL 34233-3310 Ph: (941) 266-4469 |
| NPI Number | 1790137982 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 8729364260 |
|---|---|
| Medicare Enrollment ID | O20170417001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790137982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Coeurlida L Ashby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215111299 PECOS PAC ID: 7719053669 Enrollment ID: I20090824000533 |
| Provider Name | Lazo S Pipovski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124010319 PECOS PAC ID: 0446223960 Enrollment ID: I20100222000664 |
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