Individual ProviderHeather DoernerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address14286 Beach Blvd #34, Jacksonville, FL 32250(904) 345-7513PECOS EnrollmentBased on the most recent information from CMS, provider Heather Doerner 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 ID1821289356Provider TypeIndividualFull NameDoerner, HeatherCredentialMS CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date8/8/2007Last Updated9/4/2012Contact InformationPractice LocationPractice Address14286 Beach Blvd #34, Jacksonville, FL 32250Phone(904) 345-7513FaxUnlisted FaxMailing LocationMailing Address14286 Beach Blvd #34, Jacksonville, FL 32250Phone(904) 345-7513FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer