| Allen M. Lifton, Md, Pa | |
|
200 Capri Isles Blvd Suite 7d Venice FL 34292-2302 | |
| (941) 485-2220 | |
| (941) 485-2150 |
| Full Name | Allen M. Lifton, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 Capri Isles Blvd, Venice, Florida |
| Authorized Official Name and Position | Allen Michael Lifton (PRESIDENT) |
| Authorized Official Contact | 9414852220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen M. Lifton, Md, Pa 200 Capri Isles Blvd Suite 7d Venice FL 34292-2302 Ph: (941) 485-2220 | Allen M. Lifton, Md, Pa 200 Capri Isles Blvd Suite 7d Venice FL 34292-2302 Ph: (941) 485-2220 |
| NPI Number | 1316283351 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 12/19/2012 |
| Medicare PECOS PAC ID | 3971756859 |
|---|---|
| Medicare Enrollment ID | O20121228000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316283351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME73305 (Florida) | Primary |
| Provider Name | Allen M Lifton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326144817 PECOS PAC ID: 2062541097 Enrollment ID: I20100528000577 |
| Provider Name | Brian L Vereb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013266774 PECOS PAC ID: 0244478352 Enrollment ID: I20160831000863 |
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