Organization
IMPOWER, INC
Active
Organization
IMPOWER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NAU (CREDENITALING SPECIALIST)
(689) 686-4665
Entity
Organization
Contact information
Practice address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 331-8002
(407) 331-8659
Mailing address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
(407) 261-0523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
284300000X
Special Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005979100
—
FL
05
—
006714200
—
FL
05
—
006714201
—
FL
05
—
006714202
—
FL
05
—
006714203
—
FL
05
—
007186500
—
FL
05
—
013827000
—
FL
05
—
360212500
—
FL
05
—
360212502
—
FL
05
—
360212505
—
FL
05
—
759027000
—
FL
Enumeration date
10/03/2006
Last updated
07/21/2026
Update your record
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