Provider Demographics
NPI:1740625441
Name:MEDARIS, INC.
Entity type:Organization
Organization Name:MEDARIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAMANOGLOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-440-4344
Mailing Address - Street 1:1524 NW 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-5554
Mailing Address - Country:US
Mailing Address - Phone:954-440-4344
Mailing Address - Fax:
Practice Address - Street 1:1524 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-5554
Practice Address - Country:US
Practice Address - Phone:954-440-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health