Healthcare Provider Details

I. General information

NPI: 1699768523
Provider Name (Legal Business Name): RONALD E SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RONALD E SNYDER MD

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 BEACON CIR STE 100
WEST PALM BEACH FL
33407-3243
US

IV. Provider business mailing address

4440 BEACON CIR STE 100
WEST PALM BEACH FL
33407-3243
US

V. Phone/Fax

Practice location:
  • Phone: 561-845-6000
  • Fax: 561-845-6916
Mailing address:
  • Phone: 561-845-6000
  • Fax: 561-845-6916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME0090201
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: