NPI | 1891294856 |
---|---|
Doing Business As | SYNERGY LIFESTYLE CENTER |
Entity Type | Organization |
Authorized Contact | CRYSTAL HALL Practice Adminsitrator 904-721-0894 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL me90169) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME97437) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2018-08-08 |