Provider Demographics
NPI:1184090938
Name:SYNERGY INTEGRATED HEALTHCARE INC
Entity type:Organization
Organization Name:SYNERGY INTEGRATED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHASIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-263-3330
Mailing Address - Street 1:13020 LIVINGSTON RD STE 14
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5023
Mailing Address - Country:US
Mailing Address - Phone:239-263-3330
Mailing Address - Fax:239-263-7492
Practice Address - Street 1:13020 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-5021
Practice Address - Country:US
Practice Address - Phone:239-263-3330
Practice Address - Fax:239-263-7492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
FLPT27628225100000X
FLPA9106306363A00000X
ME75050207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty