Healthcare Provider Details

I. General information

NPI: 1346272853
Provider Name (Legal Business Name): SYNERGY THERAPEUTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JUPITER LAKES BLVD SUITE 5101
JUPITER FL
33458-7191
US

IV. Provider business mailing address

210 JUPITER LAKES BLVD SUITE 5101
JUPITER FL
33458-7191
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-1876
  • Fax: 888-721-1997
Mailing address:
  • Phone: 561-741-1876
  • Fax: 888-721-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ROBERT VOORHEES
Title or Position: PRESIDENT
Credential: P.T.
Phone: 561-741-1876