Active NPI
Synergic Healthcare Solutions LLC
- General Practice Physician
- Wimauma, FL
National Provider Identifier
1407413974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SYNERGIC HEALTHCARE SOLUTIONS LLC
- Practice address
- 16521 S US Highway 301
Wimauma, FL 33598-2032 - Phone
- (813) 925-1903
- Fax
- (813) 749-8370
- NPI assigned
- May 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daron G. Diecidue, MD
- Title
- Member Manager
- Phone
- (813) 925-1903
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
16521 S US Highway 301
Wimauma, FL 33598-2032
Mailing address
200 N Bryant Ave, Ste 10
Edmond, OK 73034-6273
Phone (318) 424-4008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104160305 | Medicaid | FL |
Other names 2
- TGH Urgent Care
- TGH Urgent Care Powered by Fast Track
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2167791 | Fast Track Urgent Care Center | Certificate of waiver | Jun 13, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1407413974",
"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": "16521 S US HIGHWAY 301",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335982032",
"telephone_number": "813-925-1903",
"fax_number": "813-749-8370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"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": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104160305",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"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 Wimauma, 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 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.