Healthcare Provider Details

I. General information

NPI: 1043397722
Provider Name (Legal Business Name): ROBERT J SNYDER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 N UNIVERSITY DR SUITE 305
TAMARAC FL
33321-2919
US

IV. Provider business mailing address

7301 N UNIVERSITY DR STE 205
TAMARAC FL
33321-2935
US

V. Phone/Fax

Practice location:
  • Phone: 954-721-4806
  • Fax: 954-721-9841
Mailing address:
  • Phone: 954-721-4806
  • Fax: 954-721-9841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO908
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPO 908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: