Provider Demographics
NPI:1235723081
Name:DGP HEALTH & WELLNESS CORP
Entity Type:Organization
Organization Name:DGP HEALTH & WELLNESS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
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 1:10440 NW 37TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4200
Mailing Address - Country:US
Mailing Address - Phone:305-603-7139
Mailing Address - Fax:305-716-9192
Practice Address - Street 1:10440 NW 37TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4200
Practice Address - Country:US
Practice Address - Phone:305-603-7139
Practice Address - Fax:305-716-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health