Stephanie De La Vega

NPI 1053736918 · on the registry since 2014

Practice

Address: 19501 Nw 27th Ave
Miami Gardens, FL 33056
Phone: (305) 622-6668
Fax: (305) 622-7927
Organisation at this address: Wal-Mart Stores East Lp
Doctor Phan Eye Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida