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Mara De La Vega, MD
Family Medicine Physician in Lake Mary, Florida
NPI 1750335147

Mara De La Vega is a Family Medicine Physician based in Lake Mary, FL. Mara De La Vega practices in Lake Mary, FL and has the professional credentials of MD. The NPI Number for Mara De La Vega is 1750335147 and holds a License No. ME73219 (Florida).

The current practice location address for Mara De La Vega is 1307 S. International Parkway, Lake Mary, FL and can be reached out via phone at 407-771-0404 and via fax at 407-771-0405.

Location: 1307 S. International Parkway, Lake Mary, FL, 32806-2916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750335147
Provider Name
Mara De La Vega
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1307 S. International Parkway, Lake Mary, FL, 32806-2916
Phone Number
407-771-0404
Fax Number
407-771-0405
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080140852 01 RAILROAD MEDICARE
47060 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1307 S. International Parkway
City
Lake Mary
State
Florida
Zip
32806-2916
Phone Number
407-771-0404
Fax Number
407-771-0405
person
Provider Business Mailing Address Details
Address
1307 S. International Parkway
City
Lake Mary
State
Florida
Zip
32806-2916
Phone Number
407-771-0404
Fax Number
407-771-0405
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME73219 (Florida)
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 is not limited by age, sex, organ system, or disease entity.
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