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 is a Pediatrics Physician 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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