Individual
JASON E HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT,OCS
Contact information
Practice address
2030 S PATRICK DR, STE 3, INDIAN HARBOUR BEACH, FL 32937-4400
(321) 773-8155
(321) 773-8154
Mailing address
2030 S PATRICK DR, STE 3, INDIAN HARBOUR BEACH, FL 32937-4400
(321) 773-8155
(321) 773-8154
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA01126700
NJ
2251S0007X
Sports Physical Therapist
PT22704
FL
2251X0800X
Orthopedic Physical Therapist
40QA01126700
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
PT22704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K-3234
BEACHSIDE P.T. MEDICARE GROUP NUMBER
FL
01
—
PT-22704
STATE OF FL. P.T. LICENSE NUMBER
FL
Enumeration date
04/25/2006
Last updated
05/31/2011
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