Individual
DR. JORDAN BAXTER PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
Mailing address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(407) 303-7283
(407) 303-0473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME151807
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME151807
FL
2084A2900X
Neurocritical Care Physician
ME151807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111656700
—
FL
Enumeration date
07/12/2017
Last updated
03/18/2026
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