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Individual

DR. MATTHEW EDWARD HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019
(305) 466-9988
(305) 466-9989
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(305) 466-9988
(305) 466-9989

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME122404
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
077830
STATE LICENSE
GA
01
2018-00443
NC STATE LICENSE
NC
Enumeration date
06/24/2011
Last updated
10/02/2019
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