Giordano, Mark Adam

Giordano, Mark Adam is an individual health care provider with primary practice located at 12550 New Brittany Blvd Ste 100 , Fort Myers FL 33907-3655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Giordano, Mark Adam can be contacted via phone (239) 343-9180.

Contact Information

Primary practice address
12550 New Brittany Blvd Ste 100 Fort Myers FL 33907-3655
Phone: (239) 343-9180
Fax: (239) 343-9188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME127620 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1023378544
LBN Legal business name Giordano, Mark Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2012
Last updated Nov 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023378544 NPPES
Florida MEDICAID 017628600

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