Provider Demographics
NPI:1669710588
Name:GIORDANI, ANTONIA (RN)
Entity type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:GIORDANI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 SW 97TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3692
Mailing Address - Country:US
Mailing Address - Phone:305-748-7684
Mailing Address - Fax:
Practice Address - Street 1:8910 MIRAMAR PKWY STE 309G
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4188
Practice Address - Country:US
Practice Address - Phone:305-748-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2022-02-21
Deactivation Date:2020-02-27
Deactivation Code:
Reactivation Date:2022-02-21
Provider Licenses
StateLicense IDTaxonomies
222Q00000X, 252Y00000X, 253Z00000X, 261QD1600X
FL343900000X, 372600000X, 376J00000X
FLRN9321367163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004770600Medicaid