Provider Demographics
NPI:1245206382
Name:SNEDDON, JOCK M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCK
Middle Name:M
Last Name:SNEDDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8878 GREY HAWK PT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-5426
Mailing Address - Country:US
Mailing Address - Phone:407-947-2194
Mailing Address - Fax:
Practice Address - Street 1:7751 KINGSPOINTE PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-6500
Practice Address - Country:US
Practice Address - Phone:407-581-9672
Practice Address - Fax:407-581-9673
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0022541174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL48819WMedicare ID - Type Unspecified
FLD21648Medicare UPIN