MEDICARE: JILLIAN JOYCE HOBBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ8830	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215410576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN JOYCE HOBBY

Provider Business Mailing Address
First Line	:	6404 GEMINATA OAK CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3242
Country	:	US
Telephone Number	:	631-275-7298
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 US HIGHWAY 1 STE 210
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3547
Country	:	US
Telephone Number	:	561-776-8612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2018
Last Update Date	:	09/12/2018

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Directions to “ JILLIAN JOYCE HOBBY ” Practice Location

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