Provider Demographics
NPI:1518131424
Name:SYRNIX, INC
Entity Type:Organization
Organization Name:SYRNIX, INC
Other - Org Name:KRAVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO, PRESIDENT, OWNER OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HERRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-848-3468
Mailing Address - Street 1:7200 SAN MIGUEL DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668
Mailing Address - Country:US
Mailing Address - Phone:727-848-3468
Mailing Address - Fax:727-842-6401
Practice Address - Street 1:7200 SAN MIGUEL DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668
Practice Address - Country:US
Practice Address - Phone:727-848-3468
Practice Address - Fax:727-842-6401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYRNIX, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies