Provider Demographics
NPI:1306457585
Name:SPERINO, NAOMI (RPH)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:SPERINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MIMI
Other - Middle Name:NIEPORTE
Other - Last Name:SPERINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:8692 SE SANDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-4633
Mailing Address - Country:US
Mailing Address - Phone:561-699-9746
Mailing Address - Fax:
Practice Address - Street 1:500 N US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2372
Practice Address - Country:US
Practice Address - Phone:561-741-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist