Healthcare Provider Details

I. General information

NPI: 1780725416
Provider Name (Legal Business Name): SHANAI HILL AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 CORKSCREW RD STE 3
ESTERO FL
33928-3216
US

IV. Provider business mailing address

9250 CORKSCREW RD STE 3
ESTERO FL
33928-3216
US

V. Phone/Fax

Practice location:
  • Phone: 239-514-2225
  • Fax: 239-514-2280
Mailing address:
  • Phone: 239-514-2225
  • Fax: 239-514-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1248
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: