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NPI Code Detail

MEDICARE: ENITH LILIANA GARCIA

MEDICARE: ENITH LILIANA GARCIA
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
1222Q00000XDevelopmental Therapist
2104100000XSocial Worker
3235Z00000XSpeech-Language PathologistSA19173FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790929883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENITH LILIANA GARCIA
Provider Business Mailing Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-433-6700
Fax Number : 239-433-6703
Provider Business Practice Location Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-433-6700
Fax Number : 239-433-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2009
Last Update Date : 03/16/2026

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Directions to “ ENITH LILIANA GARCIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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