Individual ProviderMegan Leilani LarsonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1403 Declaration Dr, Jacksonville Beach, FL 32250-2507(813) 352-1104PECOS EnrollmentBased on the most recent information from CMS, provider Megan Leilani Larson 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 ID1659517266Provider TypeIndividualFull NameLarson, Megan LeilaniTitleMissGenderFemaleSole ProprietorNoEnumeration Date1/2/2009Last Updated10/23/2024Contact InformationPractice LocationPractice Address1403 Declaration Dr, Jacksonville Beach, FL 32250-2507Phone(813) 352-1104FaxUnlisted FaxMailing LocationMailing Address1403 Declaration Dr, Jacksonville Beach, FL 32250-2507Phone(813) 352-1104FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA10728FloridaCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense28634California