Marry Diane Drozdov | Jacksonville, FL • PECOS Search

Marry Diane Drozdov

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

14286 Beach Blvd Ste 34, Jacksonville, FL 32250-1570

(248) 224-7009 (904) 345-7251

PECOS Enrollment

Based on the most recent information from CMS, provider Marry Diane Drozdov does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1801574447
Provider Type
Individual
Full Name
Drozdov, Marry Diane
Credential
SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2023
Last Updated
7/5/2023

Contact Information

Practice Location

14286 Beach Blvd Ste 34, Jacksonville, FL 32250-1570

Unlisted Fax

Mailing Location

3901 University Blvd S, Jacksonville, FL 32216-4312

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SA21600 Florida