Provider Demographics
NPI:1417232117
Name:HARRINGTON, LEWIS KEVIN (ARNP, NP-C, FNP)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:KEVIN
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:ARNP, NP-C, FNP
Other - Prefix:
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP,NP-C,FNP
Mailing Address - Street 1:12525 PINE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-2324
Mailing Address - Country:US
Mailing Address - Phone:407-341-3491
Mailing Address - Fax:
Practice Address - Street 1:4807 BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2843
Practice Address - Country:US
Practice Address - Phone:813-443-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9181563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily