Healthcare Provider Details

I. General information

NPI: 1477465961
Provider Name (Legal Business Name): MICHAELLA G HYPPOLITE MEDICAL CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 ROLLING LEAF RD
GROVELAND FL
34736-8196
US

IV. Provider business mailing address

7119 ROLLING LEAF RD
GROVELAND FL
34736-8196
US

V. Phone/Fax

Practice location:
  • Phone: 407-580-9785
  • Fax:
Mailing address:
  • Phone: 407-580-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MICHAELLA G HYPPOLITE
Title or Position: OWNER
Credential:
Phone: 407-580-9785