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CHARIS NEUROLOGY LLC

Company Details

Entity Name: CHARIS NEUROLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Jul 2024 (7 months ago)
Document Number: L24000309300
Address: 775 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL 32746
Mail Address: 775 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL 32746
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083452635 2024-07-17 2024-07-17 775 PRIMERA BLVD STE 1031, LAKE MARY, FL, 327462190, US 775 PRIMERA BLVD STE 1031, LAKE MARY, FL, 327462190, US

Contacts

Phone +1 321-960-8172

Authorized person

Name DR. SHERIF MAKAR
Role MEDICAL DIRECTOR
Phone 3219608172

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

Agent

Name Role Address
KARRAN, RONALD Agent 1443 N PINE HILLS RD, 34761, ORLANDO, FL 32808

Authorized Member

Name Role Address
MAKAR, SHERIF Authorized Member 775 PRIMERA BLVD, LAKE MARY, FL 32746

Documents

Name Date
Florida Limited Liability 2024-07-11

Date of last update: 08 Feb 2025

Sources: Florida Department of State