Individual ProviderDanielle Amanda GillSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002(904) 372-4070PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Amanda Gill 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 ID1609196427Provider TypeIndividualFull NameGill, Danielle AmandaCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date6/3/2010Last Updated1/31/2018Contact InformationPractice LocationPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002Phone(904) 372-4070FaxUnlisted FaxMailing LocationMailing Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002Phone(904) 372-4070FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA 11271Florida