NPIMap

Organization Active NPI

Synergic Healthcare Solutions LLC

Doing business as TGH Urgent Care Powered by Fast Track

  • Urgent Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1821722836
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SYNERGIC HEALTHCARE SOLUTIONS LLC
Doing business as
TGH Urgent Care Powered by Fast Track
Practice address
4949 4TH St N
St Petersburg, FL 33703-3800
Phone
(813) 925-1903
Fax
(813) 749-8370
NPI assigned
Jul 14, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SYNERGIC HEALTHCARE SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
Chief Executive Officer
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4949 4TH St N
St Petersburg, FL 33703-3800

Mailing address

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903

Other names 1

  • TGH Urgent Care Powered by Fast Track Doing business as

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
10D2258548TGH Urgent Care Powered by Fast Track4949 4TH Street N, Saint Petersburg, FL 33703Certificate of waiverApr 21, 2028

National Provider Directory

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

Other organizations with this tax ID 12

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

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821722836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-925-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033800",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIECIDUE",
        "authorized_official_first_name": "DARON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "813-925-1903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGH Urgent Care Powered by Fast Track",
            "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 Jul 21, 2022; 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.

Verify at the official NPI Registry.