MEDICARE: DR. JOCK M SNEDDON M.D.

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	174400000X	Specialist	ME0022541	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245206382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCK M SNEDDON M.D.

Provider Business Mailing Address
First Line	:	8878 GREY HAWK PT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5426
Country	:	US
Telephone Number	:	407-947-2194
Fax Number	:

Provider Business Practice Location Address
First Line	:	7751 KINGSPOINTE PKWY
Second Line	:	SUITE 114
City	:	ORLANDO
State	:	FL
Zip	:	32819-6500
Country	:	US
Telephone Number	:	407-581-9672
Fax Number	:	407-581-9673

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	11/27/2007

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