Provider Demographics
NPI:1942586466
Name:SNYDER, PHILIP A (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14028 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-4311
Mailing Address - Country:US
Mailing Address - Phone:352-600-2232
Mailing Address - Fax:352-292-0136
Practice Address - Street 1:14028 5TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-4311
Practice Address - Country:US
Practice Address - Phone:352-600-2232
Practice Address - Fax:352-292-0136
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010638111N00000X
FLCH10458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFP188ZMedicare UPIN