Provider Demographics
NPI:1255956744
Name:SYNERGY HEALTH CARE AND ASSOCIATES
Entity type:Organization
Organization Name:SYNERGY HEALTH CARE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAURIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-309-1331
Mailing Address - Street 1:124 MARRIOTT DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2995
Mailing Address - Country:US
Mailing Address - Phone:850-326-2131
Mailing Address - Fax:
Practice Address - Street 1:124 MARRIOTT DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2995
Practice Address - Country:US
Practice Address - Phone:850-326-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies