| NPI | 1265329148 |
|---|---|
| Doing Business As | DELAVINA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALAN JOHN DE LA VINA Owner 863-669-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |