Healthcare Provider Details

I. General information

NPI: 1427824663
Provider Name (Legal Business Name): EMPOWERED FLOWER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2023
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 NW 68TH AVE APT 406
PLANTATION FL
33317-7596
US

IV. Provider business mailing address

6231 SW 32ND ST
MIRAMAR FL
33023-5001
US

V. Phone/Fax

Practice location:
  • Phone: 561-299-0773
  • Fax: 561-264-1981
Mailing address:
  • Phone: 954-832-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAPHNEY MAURISSEAU CARTER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 561-299-0773