Provider Demographics
NPI:1306000211
Name:ARMENAKIS, KIPRIANOS S (MD)
Entity Type:Individual
Prefix:
First Name:KIPRIANOS
Middle Name:S
Last Name:ARMENAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N FEDERAL HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-3229
Mailing Address - Country:US
Mailing Address - Phone:754-234-0984
Mailing Address - Fax:
Practice Address - Street 1:2205 BAY DR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-2912
Practice Address - Country:US
Practice Address - Phone:754-888-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107125207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty