Individual
EDGAR HOWARD SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3498
(407) 296-1000
(904) 346-0113
Mailing address
PO BOX 917156, ORLANDO, FL 32891-7156
(407) 292-0039
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0002867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00091165
RAILROAD MEDICARE
FL
Enumeration date
09/26/2006
Last updated
07/08/2007
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