Basic Information
| Provider Information | |||||||||
| NPI: | 1689787806 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | STEPHEN P. SNOW, M.D., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 W GORE ST | ||||||||
| Address2: | STE 102 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328061044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073168550 | ||||||||
| FaxNumber: | 4073168311 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 W GORE ST | ||||||||
| Address2: | STE 102 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328061044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073168550 | ||||||||
| FaxNumber: | 4073168311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SNOW | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
| AuthorizedOfficialMiddleName: | PATRICK | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4073168550 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.