Organization · NPI-2

360 Synergy NP

Nurse Practitioner, Family · Tampa, FL

NPI number1245147263
StatusActive
Last updated in NPPESAug 25, 2026

Details

NPI
1245147263
Entity type
Organization (NPI-2)
Legal business name
360 Synergy NP
Organization subpart
No
Enumeration date
Aug 25, 2026
Certification date
Aug 25, 2026
Last updated
Aug 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

16630 N Dale Mabry Hwy
Tampa, FL 33618-1400

Phone 813-966-9986

Mailing address

5230 Land O Lakes Blvd
Pmb 1375
Land O Lakes, FL 34639

Phone 813-966-9986

Authorized official

Savina V Venkova
Owner
8139669986

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