| NPI | 1629759428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN HYDE AO 305-532-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |