Provider Demographics
NPI:1063176675
Name:FLOREZ, NAOMI (MSW, RCSWI)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:FLOREZ
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37950 COLEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-4754
Mailing Address - Country:US
Mailing Address - Phone:727-422-8733
Mailing Address - Fax:
Practice Address - Street 1:38052 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3811
Practice Address - Country:US
Practice Address - Phone:352-518-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW16587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health