Healthcare Provider Details

I. General information

NPI: 1942134663
Provider Name (Legal Business Name): JENNYLEA HARMITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 KERWOOD CIR
ORLANDO FL
32810-3840
US

IV. Provider business mailing address

2635 KERWOOD CIR
ORLANDO FL
32810-3840
US

V. Phone/Fax

Practice location:
  • Phone: 407-879-0323
  • Fax:
Mailing address:
  • Phone: 407-879-0323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number171246567
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: