Provider Demographics
NPI:1700538022
Name:TRANSITION MEDICINE LLC
Entity Type:Organization
Organization Name:TRANSITION MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONENWETT
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP-BC
Authorized Official - Phone:954-663-9930
Mailing Address - Street 1:3596 NW DEER OAK DR
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3444
Mailing Address - Country:US
Mailing Address - Phone:954-663-9930
Mailing Address - Fax:619-268-5328
Practice Address - Street 1:3596 NW DEER OAK DR
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3444
Practice Address - Country:US
Practice Address - Phone:954-663-9930
Practice Address - Fax:619-268-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health