Organization
SYNERGY HEALTH GROUP LLC
Active
Parent organization
SYNERGY HEALTH GROUP LLC
Other names
Synergy Heart Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGY HEALTH GROUP LLC
Authorized official
MRS. CRYSTAL HALL (PRACTICE ADMINISTRATOR)
(904) 721-0894
Entity
Organization
Contact information
Practice address
7828 COLLINS GROVE RD, JACKSONVILLE, FL 32256-7175
(904) 721-0894
(904) 721-9449
Mailing address
2735 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-2548
(904) 721-0894
(904) 721-9449
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME90169
FL
207RI0011X
Interventional Cardiology Physician
ME97437
FL
207UN0901X
Nuclear Cardiology Physician
ME90169
FL
207UN0901X
Nuclear Cardiology Physician
ME97437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18799100
—
FL
05
—
278421100
—
FL
Enumeration date
02/05/2018
Last updated
02/14/2018
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