Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 9110880 | FL |
NPI | 1407367006 |
---|---|
Provider Name | Brian Matthew Layton |
First Address | Coral Springs, FL 33071-6066 |
Second Address | Coral Springs, FL 33071-6066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2017 |
Last Update Date | 04/12/2019 |