MEDICARE: JANEEN RENE JORDAN MD

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	208600000X	Surgery Physician	ME112412	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	TL-877	CO
3	2086S0102X	Surgical Critical Care Physician	ME112412	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972659647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANEEN RENE JORDAN MD

Provider Business Mailing Address
First Line	:	PO BOX 100108
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0108
Country	:	US
Telephone Number	:	352-273-5670
Fax Number	:	352-273-5683

Provider Business Practice Location Address
First Line	:	311 N CLYDE MORRIS BLVD STE 510
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-2757
Country	:	US
Telephone Number	:	386-241-1020
Fax Number	:	386-241-1022

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/23/2022

Similar Medicare Providers

1114974664 — DR. TOMASZ KOZLOWSKI M.D.
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 360
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-425-4650
Practice Fax: 386-425-7510

1255379079 — BRIAN K YORKGITIS DO
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 510
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-241-1020
Practice Fax: 386-241-1022

1275667057 — TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-252-0688
Practice Fax: 386-675-6401

1760703110 — ROBIN ANN BASSETT APRN
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 360
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-425-4650
Practice Fax: 386-425-7510

1881076495 — MS. MEGAN RODGERS CNP
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 510
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-425-5503
Practice Fax:

1932672912 — VOLUSIA NEUROSURGICAL ASSOCIATES
Practice Location Address:

311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL
32114-2757

Practice Phone: 386-562-7224
Practice Fax:

Directions to “ JANEEN RENE JORDAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.