MEDICARE: NETWORK SYNERGY GROUP, 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
1	171M00000X	Case Manager/Care Coordinator
2	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1548607716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NETWORK SYNERGY GROUP, INC.

Provider Business Mailing Address
First Line	:	4631 WOODLAND CORPORATE BLVD
Second Line	:	SUITE 310
City	:	TAMPA
State	:	FL
Zip	:	33614-2442
Country	:	US
Telephone Number	:	813-207-0727
Fax Number	:	813-282-0557

Provider Business Practice Location Address
First Line	:	4631 WOODLAND CORPORATE BLVD
Second Line	:	SUITE 310
City	:	TAMPA
State	:	FL
Zip	:	33614-2442
Country	:	US
Telephone Number	:	813-207-0727
Fax Number	:	813-282-0557

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	MR. JEFFREY M WATROBSKY
Credential	:
Telephone Number	:	813-207-0727

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	05/29/2013

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