Healthcare Provider Details

I. General information

NPI: 1649191552
Provider Name (Legal Business Name): DP HEALTHCARE & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 LAKE ELLENOR DR STE 204
ORLANDO FL
32809-5788
US

IV. Provider business mailing address

7200 LAKE ELLENOR DR STE 204
ORLANDO FL
32809-5788
US

V. Phone/Fax

Practice location:
  • Phone: 407-720-3020
  • Fax: 407-720-3018
Mailing address:
  • Phone: 407-720-3020
  • Fax: 407-720-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DUGUET PIERRE
Title or Position: MANAGER
Credential:
Phone: 407-720-3020