Healthcare Provider Details

I. General information

NPI: 1992168124
Provider Name (Legal Business Name): JORDAN VOKES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15821 HOLLYFERN CT
FORT MYERS FL
33908-3732
US

IV. Provider business mailing address

15821 HOLLYFERN CT
FORT MYERS FL
33908-3732
US

V. Phone/Fax

Practice location:
  • Phone: 239-432-5105
  • Fax:
Mailing address:
  • Phone: 239-432-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME157149
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: