Provider Demographics
NPI:1679440531
Name:GOLDEN, JUNITA
Entity type:Individual
Prefix:
First Name:JUNITA
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-2325
Mailing Address - Country:US
Mailing Address - Phone:352-648-2059
Mailing Address - Fax:352-648-2059
Practice Address - Street 1:827 FLORIDA ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-2325
Practice Address - Country:US
Practice Address - Phone:352-648-2059
Practice Address - Fax:352-648-2059
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL423597251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care