Organization Active NPI

Synergy Medical Weight Loss and Wellness, PA

  • Obesity Medicine (Internal Medicine) Physician
  • Orlando, FL
National Provider Identifier
1710716204
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
SYNERGY MEDICAL WEIGHT LOSS AND WELLNESS, PA
Practice address
1515 Park Center Dr Ste 2D
Orlando, FL 32835-5794
Phone
(407) 961-9627
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Diana Hernandez, MDNPI 1336113166
Title
President
Phone
(407) 448-4482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

1515 Park Center Dr Ste 2D
Orlando, FL 32835-5794

Mailing address

1803 Westover Reserve Blvd
Windermere, FL 34786-6213
Phone (407) 448-4482

National Provider Directory

National Provider Directory

Locations

1515 Park Center Dr
Ste 2D
Orlando, FL 32835
Phone (407) 704-6912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1710716204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WESTOVER RESERVE BLVD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866213",
            "telephone_number": "407-448-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PARK CENTER DR STE 2D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355794",
            "telephone_number": "407-961-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL WEIGHT LOSS AND WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-448-4482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.