Healthcare Provider Details

I. General information

NPI: 1912867771
Provider Name (Legal Business Name): BRIANA KAY GOINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 ORANGE AVE
WINTER PARK FL
32789-5524
US

IV. Provider business mailing address

1640 ORANGE AVE
WINTER PARK FL
32789-5524
US

V. Phone/Fax

Practice location:
  • Phone: 352-459-5241
  • Fax:
Mailing address:
  • Phone: 352-459-5241
  • Fax: 352-607-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number11043685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: