Provider Demographics
NPI:1154600963
Name:GIORDANI, JAMES KENNETH (APRN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KENNETH
Last Name:GIORDANI
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13900 COUNTY ROAD 455 STE 107-431
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9052
Mailing Address - Country:US
Mailing Address - Phone:407-312-6004
Mailing Address - Fax:321-972-2043
Practice Address - Street 1:2211 LEE RD STE 208
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1846
Practice Address - Country:US
Practice Address - Phone:407-321-6004
Practice Address - Fax:321-972-2043
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH048991-23363LF0000X
FLAPRN9480216363LF0000X, 363LP0808X
MARN275639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily