Individual
DR. TIARA HYPOLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2780 CLEVELAND AVE STE 809, FORT MYERS, FL 33901-5817
(239) 343-9680
(239) 343-4178
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9680
(239) 343-4178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.34741
AL
207RI0200X
Infectious Disease Physician
Primary
ME152658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112616000
—
FL
Enumeration date
07/05/2011
Last updated
01/12/2022
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