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NPI Code Detail

MEDICARE: SYNERGY DIAGNOSTICS INC

MEDICARE: SYNERGY DIAGNOSTICS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1104608728
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY DIAGNOSTICS INC
Provider Business Mailing Address
First Line : 611 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6343
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6343
Country : US
Telephone Number : 954-873-0650
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROSS PINE
Credential : DC
Telephone Number : 954-873-0650
Provider Enumeration Date : 10/18/2023
Last Update Date : 10/18/2023

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Directions to “SYNERGY DIAGNOSTICS INC ” Practice Location

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