Individual ProviderMary Dorsey SekeresSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002(904) 853-6830(321) 438-7151PECOS EnrollmentBased on the most recent information from CMS, provider Mary Dorsey Sekeres 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 ID1851432082Provider TypeIndividualFull NameSekeres, Mary DorseyTitleMs.CredentialMA CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date2/9/2007Last Updated4/4/2017Contact InformationPractice LocationPractice Address2730 Isabella Blvd Ste 10, Jacksonville Beach, FL 32250-8002Phone(904) 853-6830FaxUnlisted FaxMailing LocationMailing Address213 Charlemagne Cir, Ponte Vedra Beach, FL 32082-2906Phone(321) 438-7151FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA9150FloridaProvider IdentifiersIDDescriptionIssuerID891686100DescriptionMedicaidIssuerUnlistedFlorida