Healthcare Provider Details

I. General information

NPI: 1972096428
Provider Name (Legal Business Name): SARA ELIZABETH SNYDER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ELIZABETH DRISKELL

II. Dates (important events)

Enumeration Date: 06/10/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 1ST ST N
WINTER HAVEN FL
33881-4111
US

IV. Provider business mailing address

325 1ST ST N
WINTER HAVEN FL
33881-4111
US

V. Phone/Fax

Practice location:
  • Phone: 863-293-1191
  • Fax: 863-508-2237
Mailing address:
  • Phone: 863-293-1191
  • Fax: 863-508-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9313230
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9313230
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9313230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: