Provider Demographics
NPI:1083326102
Name:SYNTAX MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:SYNTAX MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLAOCHA
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:OKWUADIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-408-7729
Mailing Address - Street 1:2400 LAKE ERMA DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6083
Mailing Address - Country:US
Mailing Address - Phone:703-403-2505
Mailing Address - Fax:786-408-5844
Practice Address - Street 1:790 NW 107TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3100
Practice Address - Country:US
Practice Address - Phone:786-408-7729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty