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

De La Vega Medical Group Corporation

Organization Family Medicine Physician · NPI 1538870696

De La Vega Medical Group Corporation is a Family Medicine Physician 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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