Provider Demographics
NPI:1598762981
Name:SNYDER, ROBERT KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KEITH
Last Name:SNYDER
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 1:1700 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3110
Mailing Address - Country:US
Mailing Address - Phone:941-952-0900
Mailing Address - Fax:941-365-6051
Practice Address - Street 1:1700 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3110
Practice Address - Country:US
Practice Address - Phone:941-952-0900
Practice Address - Fax:941-365-6051
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL51999207WX0107X
FLME51999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04739OtherBCBS/FL
FLME0051999OtherFL LICENSE
FL0625493OtherAETNA HMO
FL063906100Medicaid
FL0010073OtherGHI
FL4417282OtherAETNA PPO, MC, EC
FL0805272OtherUNITED HEALTHCARE
FL8243346-001OtherCIGNA PAL
FL0625493OtherAETNA HMO
FL0805272OtherUNITED HEALTHCARE
FLD24661Medicare UPIN