MEDICARE: SYNERGIC HEALTHCARE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194198382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGIC HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	PO BOX 15490
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85267-5490
Country	:	US
Telephone Number	:	318-424-4008
Fax Number	:	855-230-1466

Provider Business Practice Location Address
First Line	:	5504 GATEWAY BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-1900
Country	:	US
Telephone Number	:	813-925-1903
Fax Number	:	813-749-8370

Authorized Official
Title or Position	:	CEO
Name	:	DARON G DIECIDUE
Credential	:	MD
Telephone Number	:	813-925-1903

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	12/09/2024

Similar Medicare Providers

1821035973 — KAREN P TOOTLE M.D.
Practice Location Address:

5504 GATEWAY BLVD
WESLEY CHAPEL, FL
33544-1900

Practice Phone: 813-948-5400
Practice Fax:

1093255697 — BRITTANY DALY FNP-C
Practice Location Address:

5504 GATEWAY BLVD
WESLEY CHAPEL, FL
33544-1900

Practice Phone: 813-925-1903
Practice Fax:

1275193948 — JEREMIAH LEE DUPRIEST APRN
Practice Location Address:

5504 GATEWAY BLVD
WESLEY CHAPEL, FL
33544-1900

Practice Phone: 813-925-1903
Practice Fax:

1750417788 — MIGUEL ANGEL JORDAN MD
Practice Location Address:

1900 CHAPEL DR
FINDLAY, OH
45840-1296

Practice Phone: 419-425-3211
Practice Fax: 419-425-4440

1194925602 — DR. DRAKE ROBERT RUSTICI D.C.
Practice Location Address:

603ANEWOODS CHAPEL RD
LEES SUMMIT, MO
64064-1900

Practice Phone: 816-886-2035
Practice Fax: 816-503-8941

1861894792 — MS. TABATHA SNYDER CLMMMP
Practice Location Address:

617 NE WOODS CHAPEL RD
LEES SUMMIT, MO
64064-1900

Practice Phone: 913-961-4677
Practice Fax:

Directions to “SYNERGIC HEALTHCARE SOLUTIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.