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Organization
EMPRESSIV GLOW HYDRATION AND WELLNESS LLC
Active
Organization
EMPRESSIV GLOW HYDRATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RASHEL KENNERLY (OWNER)
(813) 578-7438
Entity
Organization
Contact information
Practice address
27251 WESLEY CHAPEL BLVD, SUITE 1155, WESLEY CHAPEL, FL 33544-4285
(813) 578-7438
(813) 537-8858
Mailing address
27251 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33544-4285
(813) 578-7438
(813) 537-8858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/25/2025
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