Healthcare Provider Details

I. General information

NPI: 1609758796
Provider Name (Legal Business Name): JILLIAN LYNN JAIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5449 S SEMORAN BLVD STE 237
ORLANDO FL
32822-1780
US

IV. Provider business mailing address

4032 LAKE UNDERHILL RD APT H
ORLANDO FL
32803-7072
US

V. Phone/Fax

Practice location:
  • Phone: 689-231-9604
  • Fax:
Mailing address:
  • Phone: 407-495-9797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: