# EMPOWER LIFESTYLE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578309902
- **Authorized official:** VOLHA IHNATSENKA (MD)
- **Authorized official phone:** (352) 682-5306

## Contact information

- **Practice address:** 5208 SW 91ST DR STE E, GAINESVILLE, FL 32608-9117
- **Practice address phone:** (352) 200-2465
- **Mailing address:** 9200 NW 39TH AVE STE 130, PO BOX 3239, GAINESVILLE, FL 32606-7366
- **Mailing address phone:** (352) 682-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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