Active NPI
Delavina Services LLC
- Nurse Practitioner
- Oviedo, FL
National Provider Identifier
1265329148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DELAVINA SERVICES LLC
- Practice address
- 1109 Brielle CT
Oviedo, FL 32765-5404 - Phone
- (863) 669-3415
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan John De la Vina
- Title
- Owner
- Phone
- (863) 669-3415
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1109 Brielle CT
Oviedo, FL 32765-5404
Mailing address
1109 Brielle CT
Oviedo, FL 32765-5404
Phone (863) 669-3415
Other names 1
- DELAVINA MEDICAL GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Delavina Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Oviedo, FL
- NPI 1336038280
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Oviedo, FL
- NPI 1699418483
-
- Family Medicine Physician
- Winter Springs, FL
- NPI 1184292294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1265329148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 BRIELLE CT",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327655404",
"telephone_number": "863-669-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 BRIELLE CT",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327655404",
"telephone_number": "863-669-3415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAVINA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "DE LA VINA",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-669-3415"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DELAVINA MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.