Individual
JOHN SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12580 UNIVERSITY DR, SUITE 200, FORT MYERS, FL 33907-5686
(239) 274-0005
(239) 278-4718
Mailing address
12580 UNIVERSITY DR, SUITE 200, FORT MYERS, FL 33907-5686
(239) 274-0005
(239) 278-4718
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME98236
FL
207ND0900X
Dermatopathology Physician
Primary
ME98236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AE295Z
MEDICARE
FL
Enumeration date
05/25/2007
Last updated
08/22/2011
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