Provider Demographics
NPI:1083452635
Name:CHARIS NEUROLOGY LLC
Entity type:Organization
Organization Name:CHARIS NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-603-1633
Mailing Address - Street 1:775 PRIMERA BLVD STE 1031
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2190
Mailing Address - Country:US
Mailing Address - Phone:407-603-1633
Mailing Address - Fax:321-204-7073
Practice Address - Street 1:775 PRIMERA BLVD STE 1031
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2190
Practice Address - Country:US
Practice Address - Phone:407-603-1633
Practice Address - Fax:321-204-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty