Healthcare Provider Details

I. General information

NPI: 1073352811
Provider Name (Legal Business Name): SYNERGISTIC HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S ASHLEY DR STE 600
TAMPA FL
33602-5300
US

IV. Provider business mailing address

100 S ASHLEY DR STE 600
TAMPA FL
33602-5300
US

V. Phone/Fax

Practice location:
  • Phone: 949-512-5483
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: GARETH FORDE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 949-512-5483