Provider Demographics
NPI:1639191802
Name:SNYDER, LOUIS D (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:D
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 1:16244 S MILITARY TRL
Mailing Address - Street 2:SUITE 560
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-495-7787
Mailing Address - Fax:561-495-1164
Practice Address - Street 1:16244 S. MILITARY TRIAL
Practice Address - Street 2:SUITE 560
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-495-7787
Practice Address - Fax:561-495-1164
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054717174400000X, 207R00000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061491200Medicaid
FL07874Medicare ID - Type Unspecified
FLB65124Medicare UPIN