| NPI | 1558006957 |
|---|---|
| Doing Business As | SYNERGY REVITALIZE MED & SPA CENTER |
| Entity Type | Organization |
| Authorized Contact | ELAINE M TAYLOR Primary Care Provider 301-602-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-09-02 |