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NPI Code Detail

MEDICARE: DR. JOSEPH EDWARD SNAVELY M.D.

MEDICARE: DR. JOSEPH EDWARD SNAVELY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0117XOrthopaedic Surgery of the Spine PhysicianME140073FL

General Provider Information

NPI Number : 1639516164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH EDWARD SNAVELY M.D.
Provider Business Mailing Address
First Line : 104 PARK PLACE BLVD STE A
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-6866
Country : US
Telephone Number : 407-849-1200
Fax Number : 407-841-6940
Provider Business Practice Location Address
First Line : 1925 DON WICKHAM DR
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1915
Country : US
Telephone Number : 352-242-2826
Fax Number : 407-841-6940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2013
Last Update Date : 12/24/2025

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