Organization Active NPI

Lifexl LLC

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1790137982
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFEXL LLC
Practice address
5602 Marquesas Cir
Ste 107
Sarasota, FL 34233-3310
Phone
(941) 266-4469
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lazo Pipovski, M.D.NPI 1124010319
Title
Medical Director
Phone
(941) 702-5972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

5602 Marquesas Cir
Ste 107
Sarasota, FL 34233-3310

Mailing address

5602 Marquesas Cir
Ste 107
Sarasota, FL 34233-3310
Phone (941) 702-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170417001070 FL Part B Supplier - Clinic/Group Practice 8729364260 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

5602 Marquesas Cir
Ste 107
Sarasota, FL 34233
Phone (941) 266-4469

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1790137982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 MARQUESAS CIR",
            "address_2": "STE 107",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333310",
            "telephone_number": "941-702-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 MARQUESAS CIR",
            "address_2": "STE 107",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333310",
            "telephone_number": "941-266-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEXL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "PIPOVSKI",
        "authorized_official_first_name": "LAZO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-702-5972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.