Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 12744 | NH |
N | 2084N0402X | Child Neurologist | 12744 | NH |
Y | 2084N0402X | Child Neurologist | ME134974 | FL |
NPI | 1104834605 |
---|---|
Provider Name | Dr. Douglas J Hyder |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 24/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024242500 | (05) | FL |