Hyppolite, Jacob

Hyppolite, Jacob is an sole proprietor health care provider with primary practice located at 10000 Bay Pines Blvd , Bay Pines FL 33744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hyppolite, Jacob can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Bay Pines FL 33744
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055526 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS 9078 Florida

Profile Details

NPI number 1255302428
LBN Legal business name Hyppolite, Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255302428 NPPES
Georgia Other 89921409859 BCBS
Georgia Other P00262575 BCBS
Georgia MEDICAID 668053191A BCBS

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