Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 290474-1 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME136367 | FL |
Y | 2081P2900X | Pain Medicine | ME1363367 | FL |
NPI | 1336482694 |
---|---|
Provider Name | Nicholas Louis Giordano |
First Address | Melbourne, FL 32904-1135 |
Second Address | Melbourne, FL 32904-1135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 09/10/2020 |