Charis Neurology LLC
Psychiatry & Neurology, Neurology in Lake Mary, FL. Organization (NPI-2).
NPI number1083452635
StatusActive
Last updated in NPPESApr 20, 2025
Details
- NPI
- 1083452635
- Entity type
- Organization (NPI-2)
- Legal business name
- Charis Neurology LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- Apr 20, 2025
- Last updated
- Apr 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
775 Primera Blvd Ste 1031Lake Mary, FL 32746-2190
Phone 407-603-1633 · Fax 321-204-7073
Mailing address
775 Primera Blvd Ste 1031Lake Mary, FL 32746-2190
Phone 407-603-1633 · Fax 321-204-7073
Authorized official
Sherif Makar
Medical Director
4076031633
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