Healthcare Provider Details

I. General information

NPI: 1992499958
Provider Name (Legal Business Name): THE SNYDER FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N STATE ROAD 7 STE 103
MARGATE FL
33063-4589
US

IV. Provider business mailing address

101 N STATE ROAD 7 STE 103
MARGATE FL
33063-4589
US

V. Phone/Fax

Practice location:
  • Phone: 954-663-2255
  • Fax: 954-634-4293
Mailing address:
  • Phone: 954-663-2255
  • Fax: 954-634-4293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAYNE SNYDER
Title or Position: PRESIDENT
Credential:
Phone: 954-663-2255