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DE LA VEGA MEDICAL GROUP CORPORATION
NPI 1538870696
General Practice in Fort Myers, FL

Active since December 09, 2022CLIA 10D2276384 · Waiver
12781 WORLD PLAZA LN BLDG 88, FORT MYERS, FL 33907(239) 848-9026 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 11, 2023, Dec 9, 2022 (2 updates tracked since 2022).

About De La Vega Medical Group Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE LA VEGA MEDICAL GROUP CORPORATION (NPI 1538870696) is a healthcare organization registered as a general practice in Fort Myers, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Jane Liz De La Vega, Arnp-fnp, as its authorized official.

NPPES Registry Identity

NPI1538870696
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDE LA VEGA MEDICAL GROUP CORPORATION
Location Address12781 WORLD PLAZA LN BLDG 88Fort Myers, FL 33907-7628
Mailing Address225 Santa Barbara BlvdCape Coral, FL 33991-2032 · (239) 848-9026
Phone(239) 848-9026
Organization SubpartNo
Authorized OfficialJane Liz De La VegaArnp-fnp · (239) 848-9026
Enumeration DateDecember 9, 2022
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1538870696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
12781 WORLD PLAZA LN BLDG 88, Fort Myers, FL 33907
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2276384

De La Vega Medical Group Corporation · Fort Myers, FL
Active · expires Feb 7, 2027
CLIA Number10D2276384
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorJane L Fe La Vega
Laboratory Phone(239) 848-9026
Laboratory LocationDe La Vega Medical Group Corporation12781 World Plaza Ln, Suite 1, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De La Vega Medical Group Corporation's NPI number?

The NPI number for De La Vega Medical Group Corporation is 1538870696. It was assigned to this organization in the NPPES registry on December 9, 2022.

Where is De La Vega Medical Group Corporation located?

De La Vega Medical Group Corporation is located at 12781 World Plaza Ln Bldg 88, Fort Myers, FL 33907. The listed phone number is (239) 848-9026.

What is De La Vega Medical Group Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does De La Vega Medical Group Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276384) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for De La Vega Medical Group Corporation was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.