Healthcare Provider Details

I. General information

NPI: 1669933453
Provider Name (Legal Business Name): ERITA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9291 GLADES RD STE 306
BOCA RATON FL
33434-3959
US

IV. Provider business mailing address

9291 GLADES RD STE 306
BOCA RATON FL
33434-3959
US

V. Phone/Fax

Practice location:
  • Phone: 347-324-4039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number760526
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356683
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11022200
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: