Individual
MICHELLE THOMAS SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 LAUREL MANOR DR, SUITE 224, THE VILLAGES, FL 32162-5603
(352) 751-6565
(352) 205-7777
Mailing address
1950 LAUREL MANOR DR, SUITE 224, THE VILLAGES, FL 32162-5603
(352) 751-6565
(352) 205-7777
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA2832
FL
363A00000X
Physician Assistant
PA2832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291368200
—
FL
Enumeration date
08/30/2006
Last updated
10/23/2014
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