Provider Demographics
NPI:1578349155
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 1:4699 N FEDERAL HWY UNIT 106
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6510
Mailing Address - Country:US
Mailing Address - Phone:305-603-7139
Mailing Address - Fax:
Practice Address - Street 1:4699 N FEDERAL HWY UNIT 106
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6510
Practice Address - Country:US
Practice Address - Phone:305-603-7139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DGP HEALTH & WELLNESS, CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management