MEDICARE: DR. ROBERT KEITH SNYDER MD

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	207WX0107X	Retina Specialist (Ophthalmology) Physician	51999	FL
2	207W00000X	Ophthalmology Physician	ME51999	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04739	OTHER	FL	BCBS/FL
2	ME0051999	OTHER	FL	FL LICENSE
3	0625493	OTHER	FL	AETNA HMO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0010073	OTHER	FL	GHI
6	4417282	OTHER	FL	AETNA PPO, MC, EC
7	0805272	OTHER	FL	UNITED HEALTHCARE
8	8243346-001	OTHER	FL	CIGNA PAL
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598762981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT KEITH SNYDER MD

Provider Business Mailing Address
First Line	:	1700 S TUTTLE AVE
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3110
Country	:	US
Telephone Number	:	941-952-0900
Fax Number	:	941-365-6051

Provider Business Practice Location Address
First Line	:	1700 S TUTTLE AVE
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3110
Country	:	US
Telephone Number	:	941-952-0900
Fax Number	:	941-365-6051

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	10/22/2018

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