MEDICARE: PODARIS GROUP LLC

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	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1770434003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODARIS GROUP LLC

Provider Business Mailing Address
First Line	:	711 PALM BLVD
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451-2151
Country	:	US
Telephone Number	:	954-234-2693
Fax Number	:	954-708-1904

Provider Business Practice Location Address
First Line	:	6301 NW 5TH WAY STE 1410B
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-6131
Country	:	US
Telephone Number	:	954-234-2693
Fax Number	:	954-708-1904

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN NESBITT
Credential	:
Telephone Number	:	843-276-4195

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “PODARIS GROUP LLC ” Practice Location

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