DE LA VEGA PEDIATRICS, CORP. (NPI# 1790066983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790066983 |
| Entity Type | Organization |
| Organization Name | DE LA VEGA PEDIATRICS, CORP. |
| Practice Address |
31 Barkley Cir Suite 1 Fort Myers FL 33907-7628 |
| Practice Telephone | 2392775877 |
| Practice Fax Number | 2392771354 |
| Mailing Telephone | 2392775877 |
| Mailing Fax Number | 2392771354 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | TATIANA MOYA (OFFICE MANAGER) |
| Authorized Official Telephone | 2392775877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME101292 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME101292 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13930 Sw 47th St Ste 201, Miami, FL 331754400 | 7866159696 |
| Street Address |
31 BARKLEY CIR SUITE 1 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-7628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699045146 | Maday Albernal Perez | Massage Therapist | 31 Barkley Cir, Suite 1b, Fort Myers, FL 33907-7628 | 2011-12-30 |
| 1073882544 | Linnet Ferrer | Massage Therapist | 31 Barkley Cir, Suite 1b, Fort Myers, FL 33907-7628 | 2011-12-29 |
| 1457637498 | Golden Professional Therapy Corp | General Practice | 31 Barkley Cir, Suite 1b, Fort Myers, FL 33907-7628 | 2011-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646306 | Duxana Medical Center Corp | General Practice | 5248 Red Cedar Dr Ste 102, Fort Myers, FL 33907-4522 | 2019-12-16 |
| 1821573684 | Healthwise Medical Practice LLC | General Practice | 1415 Colonial Blvd, Fort Myers, FL 33907-1043 | 2018-09-27 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1952820656 | Robert A Didonato | General Practice | 3677 Central Ave Ste K, Fort Myers, FL 33901-8226 | 2017-09-13 |
| 1508094335 | Alexander R White | General Practice | 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908-7684 | 2009-07-01 |
| 1144472101 | Eugene Angelo Cozza | General Practice | 59 Timberland Circle, Fort Myers, FL 33919 | 2008-10-21 |
| 1346365368 | Vincent Go | General Practice | 13801 White Gardenia Way, Fort Myers, FL 33912-5678 | 2007-03-20 |
| 1649385790 | Francisco Maximo Vazquez | General Practice | 4595 Palm Beach Blvd, Suite 1, Fort Myers, FL 33905-3400 | 2006-08-20 |
| 1073547972 | Jessie Martin | General Practice | 1415 Colonial Blvd Ste 1, Fort Myers, FL 33907 | 2006-07-10 |
| 1902379209 | Lee Memorial Health System | General Practice | 12550 New Brittany Blvd, Fort Myers, FL 33907-3655 | 2019-01-09 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DE LA VEGA PEDIATRICS, CORP..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.