Individual
BRETT J. SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Mailing address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME81679
FL
208200000X
Plastic Surgery Physician
Primary
ME81679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119977B
—
GA
05
—
274270500
—
FL
05
—
359558434A
—
GA
Enumeration date
08/23/2006
Last updated
05/26/2015
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