Healthcare Provider Details

I. General information

NPI: 1578489001
Provider Name (Legal Business Name): SYNERGY WJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5449 S SEMORAN BLVD STE 234
ORLANDO FL
32822-1779
US

IV. Provider business mailing address

5449 S SEMORAN BLVD STE 234
ORLANDO FL
32822-1779
US

V. Phone/Fax

Practice location:
  • Phone: 407-432-2515
  • Fax:
Mailing address:
  • Phone: 407-432-2515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELLY-ANN WINT
Title or Position: CEO/DON
Credential: RN
Phone: 954-258-1361