Provider Demographics
NPI:1629486998
Name:HEMWELL LLC
Entity Type:Organization
Organization Name:HEMWELL LLC
Other - Org Name:HEMWELL AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:I
Authorized Official - Last Name:DELGAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-697-9355
Mailing Address - Street 1:4809 N ARMENIA AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-1447
Mailing Address - Country:US
Mailing Address - Phone:855-697-9355
Mailing Address - Fax:866-435-4017
Practice Address - Street 1:4809 N ARMENIA AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-1447
Practice Address - Country:US
Practice Address - Phone:855-697-9355
Practice Address - Fax:866-435-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty