Healthcare Provider Details

I. General information

NPI: 1134524101
Provider Name (Legal Business Name): SNYDER & HODES, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2014
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 SUITE 305
TAMARAC FL
33321-2919
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 TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 908
License Number StateFL

VIII. Authorized Official

Name: ROBERT SNYDER
Title or Position: OWNER
Credential: DPM
Phone: 954-721-4806