Individual ProviderMarissa Louise GratzaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002(904) 372-4070(636) 357-9966PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Louise Gratza 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 ID1740704626Provider TypeIndividualFull NameGratza, Marissa LouiseTitleMrs.CredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date8/1/2017Last Updated5/8/2018Contact InformationPractice LocationPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002Phone(904) 372-4070FaxUnlisted FaxMailing LocationMailing Address3601 Kernan Blvd S Apt 2022, Jacksonville, FL 32224-9692Phone(636) 357-9966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA16227FloridaCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSZ8066Florida