Healthcare Provider Details

I. General information

NPI: 1306457585
Provider Name (Legal Business Name): NAOMI SPERINO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIMI NIEPORTE SPERINO RPH

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N US HIGHWAY 1
TEQUESTA FL
33469-2372
US

IV. Provider business mailing address

8692 SE SANDRIDGE AVE
HOBE SOUND FL
33455-4633
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-8530
  • Fax:
Mailing address:
  • Phone: 561-699-9746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: