| Life Transitions Inc | |
|
3505 Depew Circle Port Charlotte FL 33952 | |
| (941) 627-2100 | |
| (941) 627-6442 |
| Full Name | Life Transitions Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3505 Depew Circle, Port Charlotte, Florida |
| Authorized Official Name and Position | Jamrs S Demalo (PRESIDENT OWNER) |
| Authorized Official Contact | 9416272100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transitions Inc 3505 Depew Ave Port Charlotte FL 33952-7016 Ph: (941) 627-2100 | Life Transitions Inc 3505 Depew Circle Port Charlotte FL 33952 Ph: (941) 627-2100 |
| NPI Number | 1992809289 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992809289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Florida) | Primary |
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