Healthcare Provider Details
I. General information
NPI: 1548806334
Provider Name (Legal Business Name): EMPOWER U, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/27/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 NW 27TH AVE STE D-205
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: 786-531-8217
- Phone: 786-318-2337
- Fax: 786-513-8217
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANE
WILLIAMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MAC
Phone: 786-318-2337