Provider Demographics
NPI:1164107322
Name:DGP HEALTH & WELLNESS, CORP
Entity Type:Organization
Organization Name:DGP HEALTH & WELLNESS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-603-7139
Mailing Address - Street 1:200 KNUTH RD STE 212
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4636
Mailing Address - Country:US
Mailing Address - Phone:561-292-0347
Mailing Address - Fax:305-676-5776
Practice Address - Street 1:200 KNUTH RD STE 212
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4636
Practice Address - Country:US
Practice Address - Phone:561-292-0347
Practice Address - Fax:305-676-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management