Healthcare Provider Details

I. General information

NPI: 1689280463
Provider Name (Legal Business Name): LINDA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA SNYDER MOBILE MEDIC HEALTH

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N WYMORE RD STE 220
WINTER PARK FL
32789-2843
US

IV. Provider business mailing address

7021 BEARGRASS RD
HARMONY FL
34773-9180
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-1229
  • Fax:
Mailing address:
  • Phone: 407-668-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: