Mara De La Vega in Lake Mary - Family Medicine
Mara De La Vega - NPI 1750335147
Mara De La Vega is a Family Medicine in Lake Mary, Florida. Mara De La Vega practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mara De La Vega is 1750335147. The last update date is 2008-12-08.
Mara De La Vega's current location address is 1307 S. International Parkway, Lake Mary, Florida. You can contact this provider via phone number 4077710404 and fax number 4077710405. The mailing address for Mara De La Vega is 1307 S. International Parkway, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara De La Vega |
|---|---|
| Address | 1307 S. International Parkway, Lake Mary, Florida |
| Phone Number | 4077710404 |
| Fax Number | 4077710405 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750335147 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2008-12-08 |
Provider Mailing Address Detail
| Address | 1307 S. International Parkway |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 328062916 |
| Phone Number | 4077710404 |
| Fax Number | 4077710405 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME73219 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80140852 | RAILROAD MEDICARE | ||
| 47060 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Mara De La Vega by the Centers for Medicare & Medicaid Services (CMS)?
The Mara De La Vega has been assigned the NPI (National Provider Identifier) 1750335147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mara De La Vega is physically located?
The Mara De La Vega is physically situated at the following address: 1307 S. International Parkway, Lake Mary, FL, 328062916.
What is Mara De La Vega's area of expertise and its corresponding taxonomy classification?
The Mara De La Vega's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mara De La Vega receive its 1750335147 assignment from the Centers for Medicare & Medicaid Services?
The Mara De La Vega was assigned its 1750335147 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information pertaining to Mara De La Vega most recently updated or revised?
The details related to Mara De La Vega, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-08.
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