NPIMap

Organization Active NPI

Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Odessa, FL
National Provider Identifier
1093463739
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SYNERGIC HEALTHCARE SOLUTIONS LLC
Practice address
13531 St Rd 54
Odessa, FL 33556
Phone
(813) 925-1903
Fax
(813) 749-8370
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Daron G. Diecidue, MDNPI 1568456697
Title
Member Manager
Phone
(813) 925-1903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

13531 St Rd 54
Odessa, FL 33556

Mailing address

200 N Bryant Ave, Ste 10
Edmond, OK 73034-6273
Phone (813) 925-1903

Other identifiers 1

IdentifierTypeStateIssuer
104160321MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Synergic Healthcare Solutions LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13531 State Road 54
Odessa, FL 33556

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1093463739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE, STE 10",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346273",
            "telephone_number": "813-925-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13531 ST RD 54",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "DIECIDUE",
        "authorized_official_first_name": "DARON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "813-925-1903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104160321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.