NPIMap

Organization Active NPI

Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1114437571
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
3251 66TH St N
St Petersburg, FL 33710-1510
Phone
(813) 925-1903
Fax
(813) 749-8370
NPI assigned
Oct 11, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Daron G. Diecidue, MD
Title
Member Manager
Phone
(813) 925-1903

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Member of 1

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

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 100

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2138335Fast Track Urgent Care Center3251 66TH Street North, Saint Petersburg, FL 33710Certificate of waiverOct 15, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180329000809 FL DME Supplier - Physician - General Practice 7618235573 Practice locations: St Petersburg, FL
O20180502000041 FL Part B Supplier - Clinic/Group Practice 7618235573 Receives reassigned benefits from 217 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wimauma, FL; Wesley Chapel, FL; Tarpon Springs, FL; Tampa, FL; Brandon, FL; St Petersburg, FL; Apollo Beach, FL; Lithia, FL…

National Provider Directory

National Provider Directory

Locations

3251 66th St N
St Petersburg, FL 33710
Phone (727) 344-3627

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

3251 66TH St N
St Petersburg, FL 33710-1510

Mailing address

200 N Bryant Ave, Ste 10
Edmond, OK 73034-6273
Phone (318) 424-4008

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
104160315MedicaidFL

Other names 3

NPPES NPI Registry
  • Fast Track Urgent Care Center Doing business as
  • TGH Urgent Care Doing business as
  • TGH Urgent Care Powered by Fast Track Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2026.

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1114437571",
    "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": "318-424-4008",
            "fax_number": "855-230-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101510",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104160315",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Track Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fast Track Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TGH Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TGH Urgent Care Powered by Fast Track",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.