De La Vega, Arnaldo
De La Vega, Arnaldo is an sole proprietor health care provider with primary practice located at 12781 World Plaza Ln Ste 1 , Fort Myers FL 33907-4078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. De La Vega, Arnaldo can be contacted via phone (239) 277-5877.Contact Information
Primary practice address
12781 World Plaza Ln Ste 1
Fort Myers FL 33907-4078
Phone: (239) 277-5877
Fax: (239) 277-1354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 101292 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 101292 | Florida |
Profile Details
| NPI number | 1164502845 |
|---|---|
| LBN Legal business name | De La Vega, Arnaldo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164502845 | NPPES |
| Florida | MEDICAID | 000107700 |
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