MEDICARE: JENNYLEA HARMITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	171246567	FL

General Provider Information

NPI Number	:	1942134663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNYLEA HARMITT

Provider Business Mailing Address
First Line	:	2635 KERWOOD CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3840
Country	:	US
Telephone Number	:	407-879-0323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2635 KERWOOD CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3840
Country	:	US
Telephone Number	:	407-879-0323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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