| Doctor Name: | DR. ROGER PINNIX |
| NPI Number: | 1205207206 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MCAP |
| License Number: | ADC-010631-2015 |
| Business Practice Address: | 202 Nw 5th Ave Okeechobee, FL - 349724140 |
| Business Phone Number: | 8634672477 |
| Business Fax Number: | |
| Mailing Address: | 5693 Travelers Way, FORT PIERCE |
| State: | FL |
| Postal Code: | 349824058 |
| Phone Number: | 7724803358 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2015 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ADC-010631-2015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |