Provider Demographics
NPI:1316829617
Name:DRINKA, KEVIN MATTHEW
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:MATTHEW
Last Name:DRINKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-2731
Mailing Address - Country:US
Mailing Address - Phone:352-429-5600
Mailing Address - Fax:352-429-1206
Practice Address - Street 1:611 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-2731
Practice Address - Country:US
Practice Address - Phone:352-429-5600
Practice Address - Fax:352-429-1206
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLPC0381031215101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral