Healthcare Provider Details

I. General information

NPI: 1598864928
Provider Name (Legal Business Name): DAVID ANDREW SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 01/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 MILITARY TRL
DELRAY BEACH FL
33484-6503
US

IV. Provider business mailing address

16201 MILITARY TRL
DELRAY BEACH FL
33484-6503
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-8100
  • Fax: 561-498-8188
Mailing address:
  • Phone: 561-498-8100
  • Fax: 561-498-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number34788
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: