Provider Demographics
NPI:1265564504
Name:GIORDANO, LELAND MITCHELL (DC)
Entity type:Individual
Prefix:DR
First Name:LELAND
Middle Name:MITCHELL
Last Name:GIORDANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11220 SW VILLAGE CT APT 211
Mailing Address - Street 2:
Mailing Address - City:SAINT LUCIE WEST
Mailing Address - State:FL
Mailing Address - Zip Code:34987-4431
Mailing Address - Country:US
Mailing Address - Phone:561-748-0325
Mailing Address - Fax:561-748-0325
Practice Address - Street 1:800 VIRGINIA AVE STE 45
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-5893
Practice Address - Country:US
Practice Address - Phone:772-466-9575
Practice Address - Fax:772-466-9475
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor