| The Empowerment Group | |
|
1411 Oakfield Dr Brandon FL 33511-2800 | |
| (813) 689-3700 | |
| (813) 689-8100 |
| Full Name | The Empowerment Group |
|---|---|
| Speciality | Social Worker |
| Location | 1411 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Lasandra L. Mcgrew (CEO) |
| Authorized Official Contact | 8136893700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Empowerment Group 1411 Oakfield Dr Brandon FL 33511-2800 Ph: (813) 689-3700 | The Empowerment Group 1411 Oakfield Dr Brandon FL 33511-2800 Ph: (813) 689-3700 |
| NPI Number | 1659694842 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 5193913986 |
|---|---|
| Medicare Enrollment ID | O20101221000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659694842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9377 (Florida) | Primary |
| Provider Name | Lasandra L Mcgrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730411695 PECOS PAC ID: 0042408833 Enrollment ID: I20101221000908 |
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