Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De La Vega Pediatrics, Corp

Organization Pediatrics Physician · NPI 1790066983

De La Vega Pediatrics, Corp provides Pediatrics Physician services in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12781 World Plaza Ln Ste 1
Fort Myers, FL 33907-4078
Phone: (239) 277-5877
Fax: (239) 277-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME101292 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME101292 (FL)

Record details

NPI number1790066983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatiana De La Vega — Office Manager · (239) 277-5877
NPI enumeratedSeptember 1, 2011
Last updated in NPPESMarch 25, 2023
Certification dateMarch 25, 2023
Mailing address12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078

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