Individual provider · Type 1 NPI

Jordan Antonio Facey, PA-C

Surgical Physician Assistant · Fort Myers, FL

NPI number 1003560194 Active

Practice location

12670 Creekside Ln
Fort Myers, FL 33919-3370

Fax (480) 499-8459

Mailing address

12670 Creekside Ln Ste 202
Fort Myers, FL 33919-3370

Other practice locations

  • 8831 Founders Square Dr Fl 1, Naples, FL 34120-0733 · (239) 482-2663

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9115647 (FL)
Physician Assistant 363A00000XPA9115647 (FL)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1003560194

Jordan Antonio Facey, PA-C's National Provider Identifier is 1003560194, issued on Feb 8, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 15, 2026.