EMPRESSIV GLOW HYDRATION AND WELLNESS LLC NPI 1780381806

NPI Information

  • NPI: 1780381806
  • Provider Name: EMPRESSIV GLOW HYDRATION AND WELLNESS LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 27251 WESLEY CHAPEL BLVD
    SUITE 1155
    WESLEY CHAPEL, FL
    ZIP 33544
  • Phone: (813) 578-7438

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NPI Details

EMPRESSIV GLOW HYDRATION AND WELLNESS LLC is a family medicine in Wesley Chapel, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EMPRESSIV GLOW HYDRATION AND WELLNESS LLC NPI is 1780381806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27251 WESLEY CHAPEL BLVD
SUITE 1155
WESLEY CHAPEL, FL
ZIP 33544-285
Phone: (813) 578-7438
Fax: (813) 537-8858

The provider's authorized official is Nicole Rashel Kennerly .
The authorized official title is Owner and has the following contact phone number (813) 578-7438.

The enumeration date for this NPI number is 2/9/2023 and was last updated on 2/25/2025.

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
1207Q00000XFamily MedicineYes

What is NPI?

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

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