Basic Information
| Provider Information | |||||||||
| NPI: | 1114169059 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GIORDAN-WEISS, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BETTER HEARING WORLD OF SOUNDS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2450 E COMMERCIAL BLVD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333084073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544912560 | ||||||||
| FaxNumber: | 9544915082 | ||||||||
| Practice Location | |||||||||
| Address1: | 2450 E COMMERCIAL BLVD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333084073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544912560 | ||||||||
| FaxNumber: | 9544915082 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2009 | ||||||||
| LastUpdateDate: | 07/06/2015 | ||||||||
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| AuthorizedOfficialLastName: | GIORDANELLI | ||||||||
| AuthorizedOfficialFirstName: | PERRY | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9544912560 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | BC-HIS, A.C.A. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AY 9 | FL | N | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist | 332B00000X | AS 2660 | FL | N | Suppliers | Durable Medical Equipment & Medical Supplies | 332BC3200X | AS 2660 | FL | N | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment | 332S00000X | AS 2660 | FL | N | Suppliers | Hearing Aid Equipment | 237700000X | AS 2660 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
ID Information
| ID | Type | State | Issuer | Description | 594492 | 05 | FL | MEDICAID |