NPI 1003560194

Jordan Antonio Facey, PAC

Practitioner Surgical Physician Assistant Fort Myers, FL

Practice location

Address: 12670 Creekside Ln, Fort Myers, FL 33919-3370
Phone: (239) 482-2663
Fax: (480) 499-8459
Mailing address: 12670 Creekside Ln STE 202, Fort Myers, FL 33919-3370

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA9115647 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9115647 (FL)

Registry record

NPI: 1003560194
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2022
Record last updated: 15 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.