Provider Demographics
NPI:1851078281
Name:POW FAMILY ENTERPRISE LLC
Entity Type:Organization
Organization Name:POW FAMILY ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-516-1255
Mailing Address - Street 1:2141 SHERBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-4403
Mailing Address - Country:US
Mailing Address - Phone:561-516-1204
Mailing Address - Fax:
Practice Address - Street 1:200 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1945
Practice Address - Country:US
Practice Address - Phone:561-516-1255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty