ENPOWER HEALTH LLC NPI 1164255782

NPI Information

  • NPI: 1164255782
  • Provider Name: ENPOWER HEALTH, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2292199
  • Address: 100 SW 75TH ST STE 103
    GAINESVILLE, FL
    ZIP 32607
  • Phone: (352) 900-2367

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NPI Details

ENPOWER HEALTH, LLC is a primary care nurse practitioner in Gainesville, FL. ENPOWER HEALTH, LLC NPI is 1164255782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 SW 75TH ST STE 103
GAINESVILLE, FL
ZIP 32607-775
Phone: (352) 900-2367
Fax: (407) 499-3538

The provider's authorized official is Susan Lynn Baumgartner .
The authorized official title is Chief Operating Officer and has the following contact phone number (678) 602-5701.

The CLIA number assigned to this NPI record is 10D2292199 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2024 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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