NPI 1245147263 · live from the CMS NPI Registry
360 Synergy NP
Nurse Practitioner, Family in Tampa, FL. National Provider Identifier 1245147263, active.
NPI record
| NPI | 1245147263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 16630 N Dale Mabry Hwy, Tampa, FL 33618 |
| Practice phone | 813-966-9986 |
| Mailing address | 5230 Land O Lakes Blvd, Pmb 1375, Land O Lakes, FL 34639 |
| Enumerated | August 25, 2026 |
| Last updated | August 25, 2026 |
| Authorized official | Savina Venkova, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.