Individual ProviderRandi Jones PasketSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address14444 Beach Blvd, Ste 500, Jacksonville, FL 32250-2079(904) 858-7512PECOS EnrollmentBased on the most recent information from CMS, provider Randi Jones Pasket 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 ID1659411403Provider TypeIndividualFull NamePasket, Randi JonesTitleMrs.CredentialMCD, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date2/8/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address14444 Beach Blvd, Ste 500, Jacksonville, FL 32250-2079Phone(904) 858-7512Fax(904) 858-7540Mailing LocationMailing Address14444 Beach Blvd, Ste 500, Jacksonville, FL 32250-2079Phone(904) 858-7512Fax(904) 858-7540Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA6210Florida