Provider Demographics
NPI:1710526793
Name:SYNERGY HEALTH MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:SYNERGY HEALTH MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-270-8800
Mailing Address - Street 1:9950 SW 107TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2767
Mailing Address - Country:US
Mailing Address - Phone:305-270-8800
Mailing Address - Fax:305-270-9110
Practice Address - Street 1:9950 SW 107TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2767
Practice Address - Country:US
Practice Address - Phone:305-270-8800
Practice Address - Fax:305-270-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty