MEDICARE: DGP HEALTH & WELLNESS, CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871379453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DGP HEALTH & WELLNESS, CORP

Provider Business Mailing Address
First Line	:	2100 PARK CENTRAL BLVD N STE 900
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2242
Country	:	US
Telephone Number	:	954-335-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 PARK CENTRAL BLVD N STE 900
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2242
Country	:	US
Telephone Number	:	954-335-4780
Fax Number	:	305-676-5776

Authorized Official
Title or Position	:	CEO
Name	:	LESLIE DELGADO
Credential	:
Telephone Number	:	305-603-7139

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	02/10/2026

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