| NPI | 1558006957 |
|---|---|
| Doing Business As | SYNERGY REVITALIZE MED & SPA CENTER |
| Entity Type | Organization |
| Authorized Contact | ELAINE M TAYLOR CEO 301-602-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-05-08 |