MEDICARE: JERILYN BOYLE

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	2355S0801X	Speech-Language Assistant	B400-433-97-867-0	FL

General Provider Information

NPI Number	:	1609707942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERILYN BOYLE

Provider Business Mailing Address
First Line	:	1994 JENNY CT
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-7635
Country	:	US
Telephone Number	:	352-540-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S WEST CROWN POINT RD STE 150
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-2917
Country	:	US
Telephone Number	:	407-905-8908
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ JERILYN BOYLE ” Practice Location

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