NPI Registry.org

De La Vega Medical Group Corporation

NPI Registration Record

Provider / OrganizationNPIDate Certified
DE LA VEGA MEDICAL GROUP CORPORATION15388706962023-02-11

The organization De La Vega Medical Group Corporation is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1538870696. Registration indicates De La Vega Medical Group Corporation is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Health Service, ) (Clinic/Center Health Service, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationDE LA VEGA MEDICAL GROUP CORPORATION
Practice Office Address12781 WORLD PLAZA LN BLDG 88
FORT MYERS, FL US
Practice Office Telephone2398489026
Mailing Address225 SANTA BARBARA BLVD
CAPE CORAL, FL 339912032 US
Business Telephone2398489026
Authorized OfficialJANE LIZ DE LA VEGA, ARNP-FNP
2398489026
HPT Codes
CodePractice
License No
State
261QH0100X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Health Service

Clinic/Center Health Service
Ambulatory Health Care Facilities
Clinic/Center
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
193200000X MULTGroup Code
OPI Codes
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