Individual
COLES HYPPOLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(407) 303-8652
Mailing address
1582 AURORA RIDGE DR, ZELLWOOD, FL 32798-5418
(407) 247-0918
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1514
PR
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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