Healthcare Provider Details

I. General information

NPI: 1366355729
Provider Name (Legal Business Name): BRITTANY CIARA HARVIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 TECHNOLOGY PARK
LAKE MARY FL
32746-7107
US

IV. Provider business mailing address

7255 KING CREEK DR
SUN CITY CENTER FL
33573-0242
US

V. Phone/Fax

Practice location:
  • Phone: 407-647-2346
  • Fax:
Mailing address:
  • Phone: 813-785-4679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN5183724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: