MEDICARE: MS. JILL LYNN DAVIS CCC/SLP

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	SA5697	FL

General Provider Information

NPI Number	:	1811259526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILL LYNN DAVIS CCC/SLP

Provider Business Mailing Address
First Line	:	21205 BRAXFIELD LOOP
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	33928-3242
Country	:	US
Telephone Number	:	239-404-4717
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 DIAMOND CENTRE CT
Second Line	:	SUITE 203
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4368
Country	:	US
Telephone Number	:	239-482-3154
Fax Number	:	239-482-3254

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

Provider Enumeration Date	:	06/10/2012
Last Update Date	:	06/10/2012

Similar Medicare Providers

1518002971 — JASON PAUL HARRE DC
Practice Location Address:

6150 DIAMOND CENTRE CT , SUITE 1003
FORT MYERS, FL
33912-4368

Practice Phone: 239-245-7909
Practice Fax: 239-245-7981

1528353554 — PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Practice Location Address:

6150 DIAMOND CENTRE CT , BUILDING 100
FORT MYERS, FL
33912-4368

Practice Phone: 239-768-6396
Practice Fax: 239-204-3000

1659716975 — LEE COUNTY PHYSICAL MEDICINE LLC
Practice Location Address:

6150 DIAMOND CENTRE CT , SUITE 1003
FORT MYERS, FL
33912-4368

Practice Phone: 239-245-7909
Practice Fax: 239-245-7981

1629417381 — DR. VICTOR DARIEN LUBIN
Practice Location Address:

6150 DIAMOND CENTRE CT
FORT MYERS, FL
33912-4368

Practice Phone: 239-433-4746
Practice Fax:

1982036281 — VICTORIA JEAN DINKINS M.S. OTR/L
Practice Location Address:

6150 DIAMOND CENTRE CT
FORT MYERS, FL
33912-4368

Practice Phone: 239-482-3154
Practice Fax:

1598170979 — MRS. LAURA LYNN GRAFF M.S.
Practice Location Address:

6150 DIAMOND CENTRE CT , SUITE 203
FORT MYERS, FL
33912-4368

Practice Phone: 239-482-3154
Practice Fax:

Directions to “ MS. JILL LYNN DAVIS CCC/SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.