| Delavina Medical Group | |
|
1809 E Broadway St # 357 Oviedo FL 32765-8597 | |
| (407) 927-9511 | |
| Not Available |
| Full Name | Delavina Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 E Broadway St # 357, Oviedo, Florida |
| Authorized Official Name and Position | Alan De La Vina (OWNER) |
| Authorized Official Contact | 4079279511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delavina Medical Group 1809 E Broadway St # 357 Oviedo FL 32765-8597 Ph: (407) 927-9511 | Delavina Medical Group 1809 E Broadway St # 357 Oviedo FL 32765-8597 Ph: (407) 927-9511 |
| NPI Number | 1336038280 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336038280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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