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Organization
EMPOWER LIFESTYLE MEDICINE PLLC
Active
Organization
EMPOWER LIFESTYLE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VOLHA IHNATSENKA (MD)
(352) 682-5306
Entity
Organization
Contact information
Practice address
5208 SW 91ST DR STE E, GAINESVILLE, FL 32608-9117
(352) 200-2465
Mailing address
9200 NW 39TH AVE STE 130, PO BOX 3239, GAINESVILLE, FL 32606-7366
(352) 682-5640
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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