SYNERGIC HEALTHCARE SOLUTIONS LLC (NPI# 1063718013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063718013 |
Entity Type | Organization |
Organization Name | SYNERGIC HEALTHCARE SOLUTIONS LLC |
Other Organization Name | FAST TRACK URGENT CARE CENTER |
Practice Address |
3301 W Gandy Blvd Tampa FL 33611-2931 |
Practice Telephone | 8139251903 |
Practice Fax Number | 8137498369 |
Mailing Telephone | 8139251903 |
Mailing Fax Number | 8137498369 |
Enumeration Date | 2011-02-08 |
Last Update Date | 2019-11-19 |
Authorized Official Name | DARON G DIECIDUE (CEO) |
Authorized Official Telephone | 8139251903 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fast Track Urgent Care Center | Doing Business As Name - Organization |
MD Businesses Inc | Former Legal Business Name - Organization |
TGH Urgent Care | Doing Business As Name - Organization |
TGH Urgent Care Powered by Fast Track | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129575 | Synergic Healthcare Solutions LLC | Clinic/Center | 564 Channelside Dr, Tampa, FL 33602-5620 | 2020-06-19 |
1407413974 | Synergic Healthcare Solutions LLC | Clinic/Center | 16521 S Us Highway 301, Wimauma, FL 33598-2032 | 2019-05-21 |
1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
1003366402 | Synergic Healthcare Solutions LLC | Clinic/Center | 11406 Us Highway 301 S, Riverview, FL 33578 | 2016-10-10 |
1033247580 | Synergic Healthcare Solutions LLC | Clinic/Center | 11969 Sheldon Rd, Tampa, FL 33626-3644 | 2007-02-28 |
1285290130 | Synergic Healthcare Solutions LLC | Clinic/Center | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2019-05-16 |
1861902223 | Synergic Healthcare Solutions LLC | Clinic/Center | 7601 Seminole Blvd, Seminole, FL 33772-4868 | 2017-10-11 |
1114437571 | Synergic Healthcare Solutions LLC | Clinic/Center | 3251 66th St N, St Petersburg, FL 33710-1510 | 2017-10-11 |
1134640089 | Synergic Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 1 Tampa General Cir, Davis Island, FL 33606-3571 | 2017-06-30 |
1194198382 | Synergic Healthcare Solutions LLC | Clinic/Center | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 | 2015-11-10 |
Street Address |
3301 W GANDY BLVD |
City | TAMPA |
State | FL |
Zip Code | 33611-2931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568456697 | Daron G. Diecidue | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2005-09-05 |
1295357051 | Jason Lee Kissick | Registered Nurse | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2020-05-14 |
1588225999 | Katina Kokkinos | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2019-06-26 |
1487139077 | Sydnee Prince Simpson | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2018-09-28 |
1770023277 | Mark Sherberg | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2017-03-02 |
1700320959 | Murilo Da Silveira | Nurse Practitioner | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-12-07 |
1710331889 | Christina Mary Tanaka | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-04-14 |
1891151387 | Megan Uribe | Physician Assistant | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2016-01-13 |
1154634327 | Zachary Chase Thompson | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2010-07-16 |
1235391483 | Nicole Marie Wilson Hall | Family Medicine | 3301 W Gandy Blvd, Tampa, FL 33611-2931 | 2008-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
Find all providers in zip 33611 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619594215 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 4744 N Dale Mabry Hwy, Tampa, FL 33614-6509 | 2020-06-30 |
1164049763 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 16318 N Dale Mabry Hwy, Tampa, FL 33618-1341 | 2020-06-30 |
1972129575 | Synergic Healthcare Solutions LLC | Clinic/Center | 564 Channelside Dr, Tampa, FL 33602-5620 | 2020-06-19 |
1508489493 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2330 E Fletcher Ave, Tampa, FL 33612-9404 | 2020-05-26 |
1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
1740668482 | Guidewell Sanitas I, LLC | Clinic/Center | 4611 W. Hillsborough Avenue, Tampa, FL 33614 | 2015-05-14 |
1194123349 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4001 W Linebaugh Ave, Tampa, FL 33624-5236 | 2014-12-19 |
1114330800 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 301 N Dale Mabry Hwy, Tampa, FL 33609 | 2014-06-10 |
1033247580 | Synergic Healthcare Solutions LLC | Clinic/Center | 11969 Sheldon Rd, Tampa, FL 33626-3644 | 2007-02-28 |
Find all providers in TAMPA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.