JON A. SNELLGROVE DPM PA
Podiatry in Pensacola, FL

License number
Florida PO3012
Category
Podiatry
Type
Podiatrist
Owner
Name: JONATHAN ARTHUR SNELLGROVE
Title: OWNER
Phone: (850) 470-0477
Address
Address
6202 N. 9 Ave. SUITE 4, Pensacola, FL 32504
National Provider ID: 1447458419
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jon A. Snellgrove, DPM PA

Pensacola, FL

Status:
Inactive
Registration:
Jul 1, 2005
Phone:
(850) 470-0477 (Phone), (850) 470-0187 (Fax)
Addresses:
6202 N 9 Ave STE 4, Pensacola, FL 32504
1320 N 9 Ave, Pensacola, FL 32503
State ID:
P05000084084
Business type:
Domestic for Profit Corporation
DPM P.A., President, Directors:
Crystal Snellgrove (Practice Manager),Jon Snellgrove DPM P.A., President, Director, inactive
Agent:
Charles S. Liberis
Categories:
Podiatrists

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