Healthcare Provider Details

I. General information

NPI: 1346163763
Provider Name (Legal Business Name): SYNEX24 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 ORLANDO CENTRAL PKWY STE 202
ORLANDO FL
32809-5732
US

IV. Provider business mailing address

7455 S US HIGHWAY 1
TITUSVILLE FL
32780-8115
US

V. Phone/Fax

Practice location:
  • Phone: 407-565-4444
  • Fax: 407-915-9977
Mailing address:
  • Phone: 407-565-4444
  • Fax: 407-915-9977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SURESH CHIGURUPATI
Title or Position: PRESIDENT
Credential:
Phone: 407-376-8909