Provider Demographics
NPI:1548607716
Name:NETWORK SYNERGY GROUP, INC.
Entity Type:Organization
Organization Name:NETWORK SYNERGY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WATROBSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-207-0727
Mailing Address - Street 1:4631 WOODLAND CORPORATE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2442
Mailing Address - Country:US
Mailing Address - Phone:813-207-0727
Mailing Address - Fax:813-282-0557
Practice Address - Street 1:4631 WOODLAND CORPORATE BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2442
Practice Address - Country:US
Practice Address - Phone:813-207-0727
Practice Address - Fax:813-282-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty