Gina M Whitaker | Fort Pierce, FL • PECOS Search

Gina M Whitaker

Counselor

Behavioral Health & Social Service Providers

5004 Pinetree Dr, Fort Pierce, FL 34982-7127

PECOS Enrollment

Based on the most recent information from CMS, provider Gina M Whitaker 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
1699483784
Provider Type
Individual
Full Name
Whitaker, Gina M
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/8/2022
Last Updated
11/8/2022

Contact Information

Practice Location

5004 Pinetree Dr, Fort Pierce, FL 34982-7127

Unlisted Fax

Mailing Location

5004 Pinetree Dr, Fort Pierce, FL 34982-7127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer