NPIMap

Organization Active NPI

Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1972129575
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
564 Channelside Dr
Tampa, FL 33602-5620
Phone
(813) 925-1903
Fax
(813) 749-8370
NPI assigned
Jun 19, 2020
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, MD
Title
Member Manager
Phone
(813) 925-1903

Specialties & licenses 1

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

Addresses

Primary practice location

564 Channelside Dr
Tampa, FL 33602-5620

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
104160314MedicaidFL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20201120000703 FL DME Supplier - Physician - General Practice 7618235573 Practice locations: Tampa, FL

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 97

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

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1972129575",
    "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": "564 CHANNELSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025620",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIC HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "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": "104160314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.