MEDICARE: DR. JORDAN W PEOPLES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15773	FL

General Provider Information

NPI Number	:	1356292775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN W PEOPLES D.C.

Provider Business Mailing Address
First Line	:	3342 SILVERMOON DR
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-0772
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 ARGERIAN DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4204
Country	:	US
Telephone Number	:	352-838-2015
Fax Number	:	727-474-7964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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