# SYNERGY MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891166435
- **Authorized official:** ANN MARIE LEWIS (MGR)
- **Authorized official phone:** (941) 780-4730

## Contact information

- **Practice address:** 6156 53RD AVE E, BRADENTON, FL 34203-9707
- **Practice address phone:** (941) 755-9355
- **Practice address fax:** (941) 755-9313
- **Mailing address:** 6610 37TH ST E, SARASOTA, FL 34243-7957
- **Mailing address phone:** (941) 780-4730
- **Mailing address fax:** (941) 755-9313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015