Individual
THOMAS DAVID SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3322 49TH AVE E, BRADENTON, FL 34203-3944
(941) 753-5350
Mailing address
3322 49TH AVE E, BRADENTON, FL 34203-3944
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00279258
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
07/08/2007
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