Provider Demographics
NPI:1538644257
Name:GOLINO, NAOMI (ARNP)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:GOLINO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:CALOGERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:CENTURY
Mailing Address - State:FL
Mailing Address - Zip Code:32535-0399
Mailing Address - Country:US
Mailing Address - Phone:850-256-5314
Mailing Address - Fax:850-256-4433
Practice Address - Street 1:8401 N CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:CENTURY
Practice Address - State:FL
Practice Address - Zip Code:32535-1631
Practice Address - Country:US
Practice Address - Phone:850-256-5314
Practice Address - Fax:850-256-4433
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001056207RI0200X, 363LF0000X
FLAPRN111001056363LF0000X
FLRN9299018163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1538644257OtherNON MEDICARE
FL1538644257Medicaid