MEDICARE: MRS. JENNIFER PATRICIA VOLTZ M.S. CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA 8378	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA8378	OTHER	FL	SLP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942223540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER PATRICIA VOLTZ M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	4997 ROYAL GULF CIRCLE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-7006
Country	:	US
Telephone Number	:	239-313-5049
Fax Number	:	239-313-5712

Provider Business Practice Location Address
First Line	:	4997 ROYAL GULF CIRCLE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-7006
Country	:	US
Telephone Number	:	239-313-5049
Fax Number	:	239-313-5712

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	10/07/2025

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