Organization
SYNERGIC HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARON G. DIECIDUE MD (MEMBER MANAGER)
(813) 925-1903
Entity
Organization
Contact information
Practice address
22945/22953 STATE RT 53, LUTZ, FL 33549
(813) 925-1903
(813) 749-8310
Mailing address
200 N BRYANT AVE, STE 10, EDMOND, OK 73034-6273
(813) 925-1903
(813) 749-8370
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104160325
—
FL
Enumeration date
11/08/2023
Last updated
05/05/2026
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