Arnaldo De La Vega, MD | |
12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078 | |
(239) 277-5877 | |
(239) 277-1354 |
Full Name | Arnaldo De La Vega |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 12781 World Plaza Ln Ste 1, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164502845 | NPI | - | NPPES |
000107700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 101292 (Florida) | Secondary |
208D00000X | General Practice | 101292 (Florida) | Primary |
Entity Name | De La Vega Pediatrics Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790066983 PECOS PAC ID: 9234301987 Enrollment ID: O20111003000106 |
Mailing Address | Practice Location Address |
---|---|
Arnaldo De La Vega, MD 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078 Ph: (239) 277-5877 | Arnaldo De La Vega, MD 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078 Ph: (239) 277-5877 |
Dr. Jessie Martin, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1415 Colonial Blvd Ste 1, Fort Myers, FL 33907 Phone: 239-202-4517 | |
Dr. Eugene Angelo Cozza, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 59 Timberland Circle, Fort Myers, FL 33919 Phone: 239-839-8234 | |
Holly Schisani, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 3822 Broadway, Fort Myers, FL 33901 Phone: 239-248-0187 | |
Lourdes Carrero-ruiz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3487 Broadway Avenue, Fort Myers, FL 33901 Phone: 239-334-9555 Fax: 239-334-2832 | |
Vincent Go, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 13801 White Gardenia Way, Fort Myers, FL 33912 Phone: 239-643-6615 | |
Maryam D Nabavi, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 13774 Plantation Rd, Ste 105, Fort Myers, FL 33912 Phone: 239-231-1342 | |
Catherine Fermin Jimenez, FNP General Practice Medicare: Medicare Enrolled Practice Location: 14543 Global Parkway, Suite 110 , 2nd Floor, Fort Myers, FL 33913 Phone: 239-264-7026 Fax: 239-567-3679 |