Healthcare Provider Details

I. General information

NPI: 1154225605
Provider Name (Legal Business Name): MR. HARVEY NMN DRUMMER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 TECHNOLOGY PARK STE 109
LAKE MARY FL
32746-7107
US

IV. Provider business mailing address

3815 NW HUNTSBORO ST APT 102
LAKE CITY FL
32055-8866
US

V. Phone/Fax

Practice location:
  • Phone: 407-347-4331
  • Fax:
Mailing address:
  • Phone: 407-795-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH28676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: