Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

De La Vega Medical Group Corporation

Organization Family Medicine Physician · NPI 1538870696

De La Vega Medical Group Corporation provides Family Medicine Physician services in Fort Myers, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

12781 World Plaza Ln Bldg 88
Fort Myers, FL 33907-7628
Phone: (239) 848-9026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1538870696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane De La Vega — Arnp-Fnp · (239) 848-9026
NPI enumeratedDecember 9, 2022
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address225 Santa Barbara Blvd, Cape Coral, FL 33991-2032

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