Individual
SANDRA LYNN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4200 N ARMENIA AVE, SUITE 1, TAMPA, FL 33607-6438
(813) 877-4811
(813) 872-8978
Mailing address
4200 N ARMENIA AVE, SUITE 1, TAMPA, FL 33607-6438
(813) 877-4811
(813) 872-8978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U0777Y
PTAN
FL
Enumeration date
10/17/2005
Last updated
07/10/2019
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