Jodi Porter | Clearwater, FL • PECOS Search

Jodi Porter

Social Worker

Behavioral Health & Social Service Providers

28465 Us 19 N Ste 202, Clearwater, FL 33761-2511

(727) 287-5208 (631) 312-3551

PECOS Enrollment

Based on the most recent information from CMS, provider Jodi Porter 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 11:51 AM.

Profile Details

Provider ID
1619698875
Provider Type
Individual
Full Name
Porter, Jodi
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/7/2022
Last Updated
9/7/2022

Contact Information

Practice Location

28465 Us 19 N Ste 202, Clearwater, FL 33761-2511

Unlisted Fax

Mailing Location

1601 Druid Rd E, Clearwater, FL 33756-4512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer