Provider Demographics
NPI:1114208600
Name:SYNERGY SPINAL AID HEALTH CENTER INC
Entity Type:Organization
Organization Name:SYNERGY SPINAL AID HEALTH CENTER INC
Other - Org Name:SPINALAID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ZUK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-540-7100
Mailing Address - Street 1:3512 DEL PRADO BLVD S
Mailing Address - Street 2:#112
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7258
Mailing Address - Country:US
Mailing Address - Phone:239-540-7100
Mailing Address - Fax:239-549-4080
Practice Address - Street 1:3512 DEL PRADO BLVD S
Practice Address - Street 2:#112
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7258
Practice Address - Country:US
Practice Address - Phone:239-540-7100
Practice Address - Fax:239-549-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty