Individual ProviderLauren BushSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address14286 Beach Blvd Ste 34, Jacksonville, FL 32250-1570(904) 345-7511(904) 345-7336PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Bush 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 yesterday at 12:57 PM.Profile DetailsProvider ID1174006415Provider TypeIndividualFull NameBush, LaurenCredentialMS, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date9/12/2018Last Updated9/12/2018Contact InformationPractice LocationPractice Address14286 Beach Blvd Ste 34, Jacksonville, FL 32250-1570Phone(904) 345-7511FaxUnlisted FaxMailing LocationMailing Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 345-7336FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSZ8064Florida