De Vera, Adela M
De Vera, Adela M is an individual health care provider with primary practice located at 1441 Heritage Blvd , Immokalee FL 34142-2260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De Vera, Adela M can be contacted via phone (239) 658-3000.Contact Information
Primary practice address
1441 Heritage Blvd
Immokalee FL 34142-2260
Phone: (239) 658-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13372 | New Hampshire |
Profile Details
| NPI number | 1275732653 |
|---|---|
| LBN Legal business name | De Vera, Adela M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Apr 26th, 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 | 1275732653 | NPPES |
| New Hampshire | MEDICAID | 30207073 | |
| New Hampshire | Other | 00249001 |
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