Healthcare Provider Details

I. General information

NPI: 1326663204
Provider Name (Legal Business Name): HANNAH JUMONVILLE DEVILLIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 BENMORE DR STE 100
WINTER PARK FL
32792-4111
US

IV. Provider business mailing address

44 W MICHIGAN ST
ORLANDO FL
32806-4453
US

V. Phone/Fax

Practice location:
  • Phone: 407-644-4883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: