Jane Liz De La Vega, FNP | |
12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078 | |
(239) 848-9026 | |
(239) 985-9024 |
Full Name | Jane Liz De La Vega |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
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 |
---|---|---|---|
1245949973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11023124 (Florida) | Primary |
Entity Name | De La Vega Medical Group Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538870696 PECOS PAC ID: 0042685364 Enrollment ID: O20230418002226 |
Mailing Address | Practice Location Address |
---|---|
Jane Liz De La Vega, FNP 225 Santa Barbara Blvd, Cape Coral, FL 33991-2032 Ph: (813) 446-6230 | Jane Liz De La Vega, FNP 12781 World Plaza Ln Ste 1, Fort Myers, FL 33907-4078 Ph: (239) 848-9026 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794 |