Individual
DRUE HOLLOWAY HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1516 E LAS OLAS BLVD, FORT LAUDERDALE, FL 33301-2399
(954) 764-8900
Mailing address
7900 PASADENA BLVD APT 205, PEMBROKE PINES, FL 33024-3581
(303) 324-7578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112515
FL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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