Individual ProviderDeborah RobertsSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2348 South Third Street, Jacksonville Beach, FL 32250(904) 249-8893PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Roberts 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 ID1518188671Provider TypeIndividualFull NameRoberts, DeborahCredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date5/2/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address2348 South Third Street, Jacksonville Beach, FL 32250Phone(904) 249-8893Fax(904) 246-7259Mailing LocationMailing Address1595 Linkside Drive, Atlantic Beach, FL 32233Phone(904) 249-8893Fax(904) 246-7259Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA3317FloridaProvider IdentifiersIDDescriptionIssuerID700493DescriptionOtherIssuerACN GROUPFloridaID338771DescriptionOtherIssuerWELLCARE IDFloridaIDS1829DescriptionOtherIssuerBCBS PROVIDER #Florida