Provider Demographics
NPI:1386472751
Name:HARRIOTT, ADRIAN (LMT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:HARRIOTT
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N CERVIDAE DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-3101
Mailing Address - Country:US
Mailing Address - Phone:646-387-0907
Mailing Address - Fax:
Practice Address - Street 1:30 N CERVIDAE DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-3101
Practice Address - Country:US
Practice Address - Phone:164-638-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA99027225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist