Healthcare Provider Details

I. General information

NPI: 1073222881
Provider Name (Legal Business Name): HILLARY JILL ZIM CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CAMINO GARDENS BLVD
BOCA RATON FL
33432-5823
US

IV. Provider business mailing address

11220 NW 82ND PL
PARKLAND FL
33076-3625
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax:
Mailing address:
  • Phone: 561-445-4435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA19819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: