Provider Demographics
NPI:1689280463
Name:SNYDER, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MOBILE MEDIC HEALTH
Mailing Address - Street 1:7021 BEARGRASS RD
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:FL
Mailing Address - Zip Code:34773-9180
Mailing Address - Country:US
Mailing Address - Phone:407-668-1288
Mailing Address - Fax:
Practice Address - Street 1:611 N WYMORE RD STE 220
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2843
Practice Address - Country:US
Practice Address - Phone:407-622-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy