Provider Demographics
NPI:1639763113
Name:EMPOWER HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:EMPOWER HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER-PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:954-909-4309
Mailing Address - Street 1:3801 N UNIVERSITY DR STE 403
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6320
Mailing Address - Country:US
Mailing Address - Phone:954-909-4309
Mailing Address - Fax:954-909-4393
Practice Address - Street 1:3801 N UNIVERSITY DR STE 403
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6320
Practice Address - Country:US
Practice Address - Phone:954-909-4309
Practice Address - Fax:954-909-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service