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1245949973
JANE LIZ DE LA VEGA
FORT MYERS, FL
NPI
1245949973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11023124)
Enumeration Date
2022-11-21
Last Update Date
2023-03-26
Business Address
JANE LIZ DE LA VEGA FNP
12781 WORLD PLAZA LN STE 1
FORT MYERS, FL 33907-4078
Phone number: 239-848-9026
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Mailing Address
JANE LIZ DE LA VEGA FNP
225 SANTA BARBARA BLVD
CAPE CORAL, FL 33991-2032
Phone number: 813-446-6230
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