Provider Demographics
NPI:1447638143
Name:SYNERGY FIRST ASSISTANTS
Entity type:Organization
Organization Name:SYNERGY FIRST ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:DOZIER
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:888-540-5553
Mailing Address - Street 1:6043 C DURHAM DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-8712
Mailing Address - Country:US
Mailing Address - Phone:888-540-5553
Mailing Address - Fax:561-642-4914
Practice Address - Street 1:6043 C DURHAM DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-8712
Practice Address - Country:US
Practice Address - Phone:888-540-5553
Practice Address - Fax:561-612-4914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty