Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Mark Czajka, PA-C

Individual provider Physician Assistant · NPI 1659929123

Jacob Mark Czajka, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2019, 7 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida, Michigan and New York.

Years since qualifying
7
Licensed in
FL, MI, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone: (239) 343-9800
Fax: (239) 343-9848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115985 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601010457 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X (NY)

Record details

NPI number1659929123
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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