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Individual

CRAIG A SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7125 MURRELL RD STE B, MELBOURNE, FL 32940
(321) 361-5588
(321) 253-3805
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5588

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69288
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800977444
RR MEDICARE
FL
05
252553400
FL
01
41305Z
FL MEDICARE
FL
05
PENDING
FL
Enumeration date
12/07/2005
Last updated
03/19/2020
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