MEDICARE: ROBERT J SNYDER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO908	FL
2	213EP1101X	Primary Podiatric Medicine Podiatrist	PO 908	FL

General Provider Information

NPI Number	:	1043397722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J SNYDER D.P.M.

Provider Business Mailing Address
First Line	:	7301 N UNIVERSITY DR STE 205
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2935
Country	:	US
Telephone Number	:	954-721-4806
Fax Number	:	954-721-9841

Provider Business Practice Location Address
First Line	:	7301 N UNIVERSITY DR
Second Line	:	SUITE 305
City	:	TAMARAC
State	:	FL
Zip	:	33321-2919
Country	:	US
Telephone Number	:	954-721-4806
Fax Number	:	954-721-9841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/04/2025

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