NPIMap

Organization Active NPI

Synergy Lifeline Partners PLLC

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1740155530
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SYNERGY LIFELINE PARTNERS PLLC
Practice address
817 NW 56TH Ter Ste D
Gainesville, FL 32605-6418
Phone
(352) 234-3050
Fax
(702) 977-1496
NPI assigned
Oct 9, 2025
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Stefan Mann, MDNPI 1356847388
Title
President
Phone
(352) 234-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

817 NW 56TH Ter Ste D
Gainesville, FL 32605-6418

Mailing address

817 NW 56TH Ter Ste D
Gainesville, FL 32605-6418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN, FL, PA, TX, NV6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20251223002619 MO Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 3 practitioners
Practice locations: O Fallon, MO
O20251224001942 IN Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN
O20251230003191 FL Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 7 practitioners
Practice locations: Windermere, FL; Palm Harbor, FL; Indian Harbour Beach, FL; Estero, FL; Mount Dora, FL
O20260213000607 PA Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 2 practitioners
Practice locations: Oakmont, PA
O20260223000875 TX Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 3 practitioners
Practice locations: Boerne, TX
O20260416003214 NV Part B Supplier - Clinic/Group Practice 4385139799 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1740155530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056418",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056418",
            "telephone_number": "352-234-3050",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY LIFELINE PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-234-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.