Provider Demographics
NPI:1730369463
Name:SYNERGY MEDICAL CENTER
Entity type:Organization
Organization Name:SYNERGY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:TAFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-785-2734
Mailing Address - Street 1:1160 SE 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9512
Mailing Address - Country:US
Mailing Address - Phone:954-785-2734
Mailing Address - Fax:954-785-2735
Practice Address - Street 1:1160 SE 9TH AVE
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9512
Practice Address - Country:US
Practice Address - Phone:954-785-2734
Practice Address - Fax:954-785-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 14529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty