Pierce, Jordan Baxter

Pierce, Jordan Baxter is an individual health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Pierce, Jordan Baxter can be contacted via phone (386) 231-6000.

Contact Information

Primary practice address
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME151807 Florida
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X ME151807 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME151807 Florida

Profile Details

NPI number 1972025757
LBN Legal business name Pierce, Jordan Baxter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Mar 18th, 2026 - about 7 months 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 1972025757 NPPES
Florida MEDICAID 111656700

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