Healthcare Provider Details

I. General information

NPI: 1760729479
Provider Name (Legal Business Name): TAMI DEABREU SNYDER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 US HIGHWAY 17
FLEMING ISLAND FL
32003-8231
US

IV. Provider business mailing address

5000 US HIGHWAY 17
FLEMING ISLAND FL
32003-8231
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-2270
  • Fax: 904-269-1533
Mailing address:
  • Phone: 904-269-2270
  • Fax: 904-269-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS35003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: