MEDICARE: ZETNIK G GARCIA MA

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	225700000X	Massage Therapist	MA62658	FL
2	363LF0000X	Family Nurse Practitioner	APRN11043565	FL

General Provider Information

NPI Number	:	1093093114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZETNIK G GARCIA MA

Provider Business Mailing Address
First Line	:	1415 NE 2ND AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-1208
Country	:	US
Telephone Number	:	239-240-3565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 NE 2ND AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-1208
Country	:	US
Telephone Number	:	239-240-3565
Fax Number	:

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

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	12/29/2025

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Directions to “ ZETNIK G GARCIA MA” Practice Location

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