Provider Demographics
NPI:1548577141
Name:SYNERGY MEDICAL CARE
Entity Type:Organization
Organization Name:SYNERGY MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:KENOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-833-2700
Mailing Address - Street 1:PO BOX 952439
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-2439
Mailing Address - Country:US
Mailing Address - Phone:407-833-2700
Mailing Address - Fax:407-322-4845
Practice Address - Street 1:771 CIARA CREEK CV
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4659
Practice Address - Country:US
Practice Address - Phone:407-833-2700
Practice Address - Fax:407-322-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies