| Transcend Performance And Lifestyle Institute | |
|
17425 7th St Ste 5601274 Montverde FL 34756-3235 | |
| (407) 544-0166 | |
| (407) 543-6537 |
| Full Name | Transcend Performance And Lifestyle Institute |
|---|---|
| Speciality | Family Medicine |
| Location | 17425 7th St Ste 5601274, Montverde, Florida |
| Authorized Official Name and Position | Sean Martin (OWNER) |
| Authorized Official Contact | 4075440166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcend Performance And Lifestyle Institute 17425 7th St Ste 5601274 Montverde FL 34756-3235 Ph: (407) 544-0166 | Transcend Performance And Lifestyle Institute 17425 7th St Ste 5601274 Montverde FL 34756-3235 Ph: (407) 544-0166 |
| NPI Number | 1912583816 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 6800203969 |
|---|---|
| Medicare Enrollment ID | O20210408000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912583816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Sean N Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1467643221 PECOS PAC ID: 8527206549 Enrollment ID: I20200827000535 |
Lozott Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16418 Magnolia Bluff Dr, Montverde, FL 34756 Phone: 954-445-1530 Fax: 407-469-2434 |