Provider Demographics
NPI:1023224771
Name:SNOOK, JOHN LAMAR (PA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:LAMAR
Last Name:SNOOK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2685 SW 32ND PL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7162
Mailing Address - Country:US
Mailing Address - Phone:352-369-0101
Mailing Address - Fax:382-873-0101
Practice Address - Street 1:2685 SW 32ND PL
Practice Address - Street 2:SUITE 400
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7162
Practice Address - Country:US
Practice Address - Phone:352-369-0101
Practice Address - Fax:382-873-0101
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA1639363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant