Healthcare Provider Details

I. General information

NPI: 1063546810
Provider Name (Legal Business Name): SCOTT B SNYDER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8993 OKEECHOBEE BLVD SUITE #114
WEST PALM BEACH FL
33411-5144
US

IV. Provider business mailing address

8993 OKEECHOBEE BLVD SUITE #114
WEST PALM BEACH FL
33411-8733
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-8899
  • Fax: 561-795-9558
Mailing address:
  • Phone: 561-798-8899
  • Fax: 561-795-9558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH5042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: