SYNERGY LIFESTYLE CENTER – NPI #1891294856
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

SYNERGY LIFESTYLE CENTER is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1891294856 to SYNERGY LIFESTYLE CENTER on February 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SYNERGY LIFESTYLE CENTER” is a dba name, the actual legal business name for this organization is SYNERGY HEALTH GROUP LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 8 years ago on Aug 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SYNERGY LIFESTYLE CENTER below.

NPI Profile for
SYNERGY HEALTH GROUP LLC

NPI Number
1891294856
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SYNERGY HEALTH GROUP LLC
Doing Business As (dba): SYNERGY LIFESTYLE CENTER
Primary location
7828 COLLINS GROVE RD
JACKSONVILLE, FL 32256
Phone: (904) 721-0894 Fax: (904) 721-9449
Mailing address
2735 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-2548
Phone: (904) 721-0849 Fax: (904) 721-9449
Organization Subpart
Yes - SYNERGY LIFESTYLE CENTER is subpart of another organization.
Authorized Official
CRYSTAL HALL
PRACTICE ADMINSITRATOR
Phone: (904) 721-0894
Updated
Identifiers

Identifiers for SYNERGY LIFESTYLE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL18799100
MEDICAIDFL278421100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
FL ME90169
207RI0011X
- Internal Medicine / Interventional Cardiology
FL ME97437

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.