Provider Demographics
NPI:1942729652
Name:SYNERGY HEALTH MANAGEMENT LLC
Entity Type:Organization
Organization Name:SYNERGY HEALTH MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAITE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAS DE MAZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-710-6486
Mailing Address - Street 1:6550 SW 159TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3652
Mailing Address - Country:US
Mailing Address - Phone:305-385-9224
Mailing Address - Fax:
Practice Address - Street 1:6550 SW 159TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3652
Practice Address - Country:US
Practice Address - Phone:305-385-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No347D00000XTransportation ServicesTrain