Snowden, Robert Todd

Snowden, Robert Todd is an individual health care provider with primary practice located at 14546 Old Saint Augustine Rd Ste 401 Credentialing Department, Jacksonville FL 32258-5473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Snowden, Robert Todd can be contacted via phone (904) 268-5366.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Ste 401 Credentialing Department Jacksonville FL 32258-5473
Phone: (904) 268-5366
Fax: (904) 268-5457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME81538 Florida
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME81538 Florida

Profile Details

NPI number 1376545152
LBN Legal business name Snowden, Robert Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376545152 NPPES
Florida MEDICAID 0046297-00
Florida Other P00997636

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