Healthcare Provider Details
I. General information
NPI: 1083473151
Provider Name (Legal Business Name): EMPOWER U, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2024
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 NW 27TH AVE STE E-12
MIAMI FL
33147-4909
US
IV. Provider business mailing address
7900 NW 27TH AVE STE E-12
MIAMI FL
33147-4909
US
V. Phone/Fax
- Phone: 786-318-2337
- Fax: 786-513-8217
- Phone: 786-318-2337
- Fax: 786-513-8217
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANE
WILLIAMS
Title or Position: CEO
Credential: MAC
Phone: 786-318-2337