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NPI Code Detail

MEDICARE: SYNERGIC HEALTHCARE SOLUTIONS LLC

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
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1063718013
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGIC HEALTHCARE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 200 N BRYANT AVE, STE 10
Second Line :
City : EDMOND
State : OK
Zip : 73034-6273
Country : US
Telephone Number : 318-424-4008
Fax Number : 855-230-1466
Provider Business Practice Location Address
First Line : 3301 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2931
Country : US
Telephone Number : 813-925-1903
Fax Number : 813-749-8369
Authorized Official
Title or Position : CEO
Name : DARON G DIECIDUE
Credential : MD
Telephone Number : 813-925-1903
Provider Enumeration Date : 02/08/2011
Last Update Date : 05/05/2026

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Practice Location Address:
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1760477442 — DR. MICHAEL E DUNN M.D.
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1275508855 — DR. JEROME AMBROSE WEHR M.D.
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Practice Fax: 813-749-8370
1134171077 — STEPHEN PARSONS NP
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1760437883 — GLENN A KWIAT MD
Practice Location Address:
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Directions to “SYNERGIC HEALTHCARE SOLUTIONS LLC ” Practice Location

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