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INNERGLOW EMPOWERED WELLNESS, LLC
NPI 1245028109
Family Medicine in Riverview, FL

Active since April 29, 2025
13011 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578(813) 404-4229 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innerglow Empowered Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERGLOW EMPOWERED WELLNESS, LLC (NPI 1245028109), doing business as Medi Weight Loss Clinics Riverview, is a healthcare organization registered as a family medicine in Riverview, Florida and active in the NPI registry since April 2025. The organization lists Serena Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1245028109
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNERGLOW EMPOWERED WELLNESS, LLC
Location Address13011 SUMMERFIELD SQUARE DRRiverview, FL 33578-7402
Mailing Address13011 Summerfield Square DrRiverview, FL 33578-7402 · (813) 404-4229
Phone(813) 404-4229
Organization SubpartNo
Authorized OfficialSerena WilliamsOwner · (813) 404-4229
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1245028109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13011 SUMMERFIELD SQUARE DR, Riverview, FL 33578
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Other Names 1

Doing Business AsMedi Weight Loss Clinics Riverview

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN GARDNER PTA
Physical Therapy Assistant
13011 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 374-2209
DR. CHRISTOPHER LEE BOUDREAU
Physical Medicine & Rehabilitation
13011 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (220) 981-3374
LINDSEY ELIZABETH RICHARDSON DPT
Physical Therapist
13011 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 374-2209
MRS. AMANDA LEIGH LEWANDOWSKI DPT
Physical Therapist
13011 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 374-2209
THERAPY AND SPORTS CENTER, INC.
Physical Therapist
13011 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 33578
Hillsborough County (813) 374-2209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innerglow Empowered Wellness, LLC's NPI number?

The NPI number for Innerglow Empowered Wellness, LLC is 1245028109. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is doing business as Medi Weight Loss Clinics Riverview.

Where is Innerglow Empowered Wellness, LLC located?

Innerglow Empowered Wellness, LLC is located at 13011 Summerfield Square Dr, Riverview, FL 33578. The listed phone number is (813) 404-4229.

What is Innerglow Empowered Wellness, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Innerglow Empowered Wellness, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.