Provider Demographics
NPI:1033703715
Name:OCALA SYNERGY HEALTHCARE LLC
Entity Type:Organization
Organization Name:OCALA SYNERGY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KANAGALINGAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-281-0197
Mailing Address - Street 1:2820 SE 3RD CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0457
Mailing Address - Country:US
Mailing Address - Phone:347-281-0197
Mailing Address - Fax:
Practice Address - Street 1:2820 SE 3RD CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0457
Practice Address - Country:US
Practice Address - Phone:347-281-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty