Individual
ROBERT TODD SNOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 401, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32258-5473
(904) 268-5366
(904) 268-5457
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 202-5111
(904) 268-5457
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME81538
FL
207YS0123X
Facial Plastic Surgery Physician
ME81538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046297-00
—
FL
01
—
P00997636
RAILROAD MEDICARE
FL
Enumeration date
08/11/2005
Last updated
11/18/2015
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