Individual ProviderMaxine GrethSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945(866) 490-5038(772) 285-2338PECOS EnrollmentBased on the most recent information from CMS, provider Maxine Greth 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 ID1972839868Provider TypeIndividualFull NameGreth, MaxineGenderFemaleSole ProprietorYesEnumeration Date10/27/2009Last Updated10/27/2009Contact InformationPractice LocationPractice Address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945Phone(866) 490-5038FaxUnlisted FaxMailing LocationMailing Address2293 SW Essex Ct, Palm City, FL 34990-8202Phone(772) 285-2338FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA2685Florida