| Synergistiq Integrative Health P A | |
|
3165 N Mcmullen Booth Rd Suite D-2 Clearwater FL 33761-2032 | |
| (727) 754-2936 | |
| Not Available |
| Full Name | Synergistiq Integrative Health P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 3165 N Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Deepa Verma (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7277547936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergistiq Integrative Health P A 3165 N Mcmullen Booth Rd Ste D-2 Clearwater FL 33761-2020 Ph: (727) 754-2936 | Synergistiq Integrative Health P A 3165 N Mcmullen Booth Rd Suite D-2 Clearwater FL 33761-2032 Ph: (727) 754-2936 |
| NPI Number | 1215304613 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 9537599717 |
|---|---|
| Medicare Enrollment ID | O20200501001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215304613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME95465 (Florida) | Primary |
| Provider Name | Deepa B Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225182918 PECOS PAC ID: 1153490982 Enrollment ID: I20080520000675 |
| Provider Name | Jenna L Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639740848 PECOS PAC ID: 6709253032 Enrollment ID: I20221031000367 |
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