Healthcare Provider Details

I. General information

NPI: 1730393562
Provider Name (Legal Business Name): CHRISTOPHER W SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 12/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 6TH ST S SUITE 306
ST PETERSBURG FL
33701-4630
US

IV. Provider business mailing address

601 5TH ST S SUITE 306
ST PETERSBURG FL
33701-4804
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-3439
  • Fax: 727-767-4346
Mailing address:
  • Phone: 727-767-3439
  • Fax: 727-767-4346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number6650
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME118285
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: