Individual ProviderDebbie MordakSpecialist/TechnologistSpeech, Language and Hearing Service ProvidersPractice Address1897 NE 146th St, North Miami, FL 33181-1423(305) 949-4191PECOS EnrollmentBased on the most recent information from CMS, provider Debbie Mordak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1144797788Provider TypeIndividualFull NameMordak, DebbieGenderFemaleSole ProprietorYesEnumeration Date11/1/2018Last Updated11/1/2018Contact InformationPractice LocationPractice Address1897 NE 146th St, North Miami, FL 33181-1423Phone(305) 949-4191FaxUnlisted FaxMailing LocationMailing Address1897 NE 146th St, North Miami, FL 33181-1423PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2355S0801XPrimaryDescriptionSpecialist/TechnologistSpeech, Language and Hearing Service ProvidersLicenseSI2020Florida