Individual
ARNALDO DE LA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12781 WORLD PLAZA LN STE 1, FORT MYERS, FL 33907-4078
(239) 277-5877
(239) 277-1354
Mailing address
12781 WORLD PLAZA LN STE 1, FORT MYERS, FL 33907-4078
(239) 277-5877
(239) 277-1354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
101292
FL
208D00000X
General Practice Physician
Primary
101292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000107700
—
FL
Enumeration date
10/16/2006
Last updated
07/27/2023
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