Healthcare Provider Details

I. General information

NPI: 1144154261
Provider Name (Legal Business Name): JILLIAN CHRISTINE ZUWALA AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 DANIELS RD STE 140
WINTER GARDEN FL
34787-5604
US

IV. Provider business mailing address

1432 MUIR CIR
CLERMONT FL
34711-6544
US

V. Phone/Fax

Practice location:
  • Phone: 407-253-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: