| NPI | 1386171130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HYDE Owner 305-532-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-06-16 |