Healthcare Provider Details

I. General information

NPI: 1538644257
Provider Name (Legal Business Name): NAOMI GOLINO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAOMI CALOGERO APRN

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 N CENTURY BLVD
CENTURY FL
32535-1631
US

IV. Provider business mailing address

PO BOX 399
CENTURY FL
32535-0399
US

V. Phone/Fax

Practice location:
  • Phone: 850-256-5314
  • Fax: 850-256-4433
Mailing address:
  • Phone: 850-256-5314
  • Fax: 850-256-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN111001056
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001056
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9299018
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberAPRN11001056
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: