Individual
DR. ADELA M DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 HERITAGE BLVD, IMMOKALEE, FL 34142-2260
(239) 658-3000
Mailing address
1454 MADISON AVE W STE 106, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13372
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00249001
MEDICARE PTAN
NH
05
—
30207073
—
NH
Enumeration date
07/16/2007
Last updated
04/26/2023
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