Individual ProviderRoderick DavisCounselorBehavioral Health & Social Service ProvidersPractice Address5800 Palmetto Dr, Fort Pierce, FL 34982-3258(772) 342-7333PECOS EnrollmentBased on the most recent information from CMS, provider Roderick Davis 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 ID1013587617Provider TypeIndividualFull NameDavis, RoderickGenderMaleSole ProprietorNoEnumeration Date6/28/2021Last Updated6/28/2021Contact InformationPractice LocationPractice Address5800 Palmetto Dr, Fort Pierce, FL 34982-3258Phone(772) 342-7333FaxUnlisted FaxMailing LocationMailing Address5800 Palmetto Dr, Fort Pierce, FL 34982-3258Phone(772) 342-7333FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida