Provider Demographics
NPI:1093099517
Name:SYNERGY MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:SYNERGY MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ASH
Authorized Official - Last Name:ZUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-464-0229
Mailing Address - Street 1:1425 VIKING CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9767
Mailing Address - Country:US
Mailing Address - Phone:239-464-0228
Mailing Address - Fax:239-549-4080
Practice Address - Street 1:1425 VIKING CT
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9767
Practice Address - Country:US
Practice Address - Phone:239-464-0228
Practice Address - Fax:239-549-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies