Provider Demographics
NPI:1063546810
Name:SNYDER, SCOTT B (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:B
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:8993 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE #114
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8733
Mailing Address - Country:US
Mailing Address - Phone:561-798-8899
Mailing Address - Fax:561-795-9558
Practice Address - Street 1:8993 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE #114
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5144
Practice Address - Country:US
Practice Address - Phone:561-798-8899
Practice Address - Fax:561-795-9558
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70913Medicare ID - Type Unspecified