Healthcare Provider Details
I. General information
NPI: 1881814457
Provider Name (Legal Business Name): SYNERGY GROUP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2007
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
580 VILLAGE BLVD SUITE 210
WEST PALM BEACH FL
33409-1904
US
IV. Provider business mailing address
580 VILLAGE BLVD SUITE 210
WEST PALM BEACH FL
33409-1904
US
V. Phone/Fax
- Phone: 561-686-4025
- Fax: 561-776-0082
- Phone: 561-686-4025
- Fax: 561-776-0082
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARRY
WOLPERT
Title or Position: PRESIDENT
Credential:
Phone: 561-333-3931