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NPI Code Detail

MEDICARE: DR. SAMUEL SNYDER DO

MEDICARE: DR. SAMUEL SNYDER DO
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
1207RN0300XNephrology PhysicianOS 6909FL

General Provider Information

NPI Number : 1093749111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL SNYDER DO
Provider Business Mailing Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7969
Country : US
Telephone Number : 561-292-4949
Fax Number : 561-292-4612
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7969
Country : US
Telephone Number : 561-292-4949
Fax Number : 561-292-4612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 04/13/2021

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