| De La Vega Medical Group Corporation | |
|
12781 World Plaza Ln Bldg 88 Fort Myers FL 33907-7628 | |
| (239) 848-9026 | |
| Not Available |
| Full Name | De La Vega Medical Group Corporation |
|---|---|
| Speciality | General Practice |
| Location | 12781 World Plaza Ln Bldg 88, Fort Myers, Florida |
| Authorized Official Name and Position | Jane Liz De La Vega (ARNP-FNP) |
| Authorized Official Contact | 2398489026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Vega Medical Group Corporation 225 Santa Barbara Blvd Cape Coral FL 33991-2032 Ph: (239) 848-9026 | De La Vega Medical Group Corporation 12781 World Plaza Ln Bldg 88 Fort Myers FL 33907-7628 Ph: (239) 848-9026 |
| NPI Number | 1538870696 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538870696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lee Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |