MEDICARE: MR. JAMES KENNETH GIORDANI APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	048991-23	NH
2	363LF0000X	Family Nurse Practitioner	APRN9480216	FL
3	363LF0000X	Family Nurse Practitioner	RN275639	MA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9480216	FL

General Provider Information

NPI Number	:	1154600963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES KENNETH GIORDANI APRN

Provider Business Mailing Address
First Line	:	13900 COUNTY ROAD 455 STE 107-431
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-9052
Country	:	US
Telephone Number	:	407-312-6004
Fax Number	:	321-972-2043

Provider Business Practice Location Address
First Line	:	2211 LEE RD STE 208
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1846
Country	:	US
Telephone Number	:	407-321-6004
Fax Number	:	321-972-2043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2011
Last Update Date	:	10/16/2025

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