Provider Demographics
NPI:1700019023
Name:LARKINS, DREW COURTNEY (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:COURTNEY
Last Name:LARKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:COURTNEY
Other - Last Name:LARKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:136 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1234
Mailing Address - Country:US
Mailing Address - Phone:407-649-3899
Mailing Address - Fax:407-649-3065
Practice Address - Street 1:136 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1234
Practice Address - Country:US
Practice Address - Phone:407-649-3899
Practice Address - Fax:407-649-3065
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10082111N00000X
GACHIR008526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor