Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO 908 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO908 | FL |
NPI | 1043397722 |
---|---|
Provider Name | Robert J Snyder |
First Address | Tamarac, FL 33321-2919 |
Second Address | Tamarac, FL 33321-2919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 30/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T55447 | (02) | FL |