Organization Active NPI

Synchrony Medical Group, LLC

  • Interventional Pain Medicine Physician
  • Gainesville, FL
National Provider Identifier
1568189728
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SYNCHRONY MEDICAL GROUP, LLC
Practice address
7328 W University Ave Ste E
Gainesville, FL 32607-1635
Phone
(352) 225-3976
Fax
(352) 554-5092
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alvaro Rivera Caballero
Title
Chief Operative Officer
Phone
(407) 267-7446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

7328 W University Ave Ste E
Gainesville, FL 32607-1635

Mailing address

7328 W University Ave Ste E
Gainesville, FL 32607-1635
Phone (352) 225-3976

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1568189728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 W UNIVERSITY AVE STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071635",
            "telephone_number": "352-225-3976",
            "fax_number": "352-554-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 W UNIVERSITY AVE STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071635",
            "telephone_number": "352-225-3976",
            "fax_number": "352-554-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA CABALLERO",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "CHIEF OPERATIVE OFFICER",
        "authorized_official_telephone_number": "407-267-7446"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.