Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 242538 | NY |
Y | 2084N0402X | Child Neurologist | ME126465 | FL |
NPI | 1346430105 |
---|---|
Provider Name | Dr. Anthony Francis Giordano |
First Address | Atlanta, GA 30384-9992 |
Second Address | Orlando, FL 32827-7402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 10/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
'017196200 | (05) | FL |
IO548Z | MEDICARE (01) | FL |