MEDICARE: DR. ZACHARY GARNER D.O.

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	207RG0100X	Gastroenterology Physician	OS12213	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558679449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY GARNER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 947407
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30394-7407
Country	:	US
Telephone Number	:	941-917-2600
Fax Number	:	941-917-7884

Provider Business Practice Location Address
First Line	:	4790 BARKLEY CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7593
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:

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

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	05/15/2024

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