MEDICARE: KIPRIANOS S ARMENAKIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME107125	FL
2	174400000X	Specialist	ME107125	FL

General Provider Information

NPI Number	:	1306000211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIPRIANOS S ARMENAKIS MD

Provider Business Mailing Address
First Line	:	1600 N FEDERAL HWY
Second Line	:	SUITE A
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-3229
Country	:	US
Telephone Number	:	754-234-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 BAY DR
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-2912
Country	:	US
Telephone Number	:	754-888-5656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	05/25/2021

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