Provider Demographics
NPI:1801200118
Name:DPN USA LLC
Entity Type:Organization
Organization Name:DPN USA LLC
Other - Org Name:HEALTHFAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, STRATEGIC OPS
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGEATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-356-0885
Mailing Address - Street 1:1890 STATE ROAD 436
Mailing Address - Street 2:SUITE 319
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2228
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1030 SPRING VILLAS PT STE 3000
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6621
Practice Address - Country:US
Practice Address - Phone:480-862-1677
Practice Address - Fax:480-718-7643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MobileGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty