| Synergy Lifeline Partners PLLC | |
|
817 Nw 56th Ter Ste D Gainesville FL 32605-6418 | |
| (352) 234-3050 | |
| (702) 977-1496 |
| Full Name | Synergy Lifeline Partners PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 817 Nw 56th Ter Ste D, Gainesville, Florida |
| Authorized Official Name and Position | Stefan Mann (PRESIDENT) |
| Authorized Official Contact | 3522343050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Lifeline Partners PLLC 817 Nw 56th Ter Ste D Gainesville FL 32605-6418 | Synergy Lifeline Partners PLLC 817 Nw 56th Ter Ste D Gainesville FL 32605-6418 Ph: (352) 234-3050 |
| NPI Number | 1740155530 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Medicare PECOS PAC ID | 4385139799 |
|---|---|
| Medicare Enrollment ID | O20251223002619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740155530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Stefan Samuel Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356847388 PECOS PAC ID: 0446504443 Enrollment ID: I20250924001624 |
| Provider Name | Kristin Victoria Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477155018 PECOS PAC ID: 5395147417 Enrollment ID: I20251003002075 |
| Provider Name | Janet Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508384462 PECOS PAC ID: 1850659392 Enrollment ID: I20251003003838 |
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