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General NPI Number Information
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NPI Number | 1235011040
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Entity Type | Organization
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Legal Business Name | EMPOWER MED CENTER LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 12750 NW 17TH ST UNIT 109
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City | MIAMI
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State | FL
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Zip | 33182-1421
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Country | US
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Telephone | 305-509-5590
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Fax | 305-509-5543
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Provider Business Mailing Address
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Address Line | 12750 NW 17TH ST UNIT 109
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City | MIAMI
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State | FL
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Zip | 33182-1421
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Country | US
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Telephone | 305-509-5590
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Fax | 305-509-5543
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AILIUJ FERNANDEZ
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Credential |
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Telephone | 305-509-5590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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