Healthcare Provider Details

I. General information

NPI: 1255397972
Provider Name (Legal Business Name): SCOTT A SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7369 SHERIDAN ST STE 300
HOLLYWOOD FL
33024-2776
US

IV. Provider business mailing address

PO BOX 162593
ALTAMONTE SPRINGS FL
32716-2593
US

V. Phone/Fax

Practice location:
  • Phone: 954-451-5932
  • Fax: 954-947-4351
Mailing address:
  • Phone: 954-451-5932
  • Fax: 954-947-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME51655
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: