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DEW ANTI-AGING AND MED SPA LLC
NPI 1073121232
Clinic/Center in Orlando, FL

Active since July 14, 2020
7300 SANDLAKE COMMONS BLVD STE 315, ORLANDO, FL 32819(407) 963-0125 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dew Anti-aging And Med Spa Llc NPPES

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

DEW ANTI-AGING AND MED SPA LLC (NPI 1073121232) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since July 2020. The organization lists Gillian A Ellis, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073121232
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDEW ANTI-AGING AND MED SPA LLC
Location Address7300 SANDLAKE COMMONS BLVD STE 315Orlando, FL 32819-8011
Mailing Address1624 Kennesaw DrClermont, FL 34711-6871 · (407) 963-0125
Phone(407) 963-0125
Organization SubpartNo
Authorized OfficialGillian A EllisOwner/provider · (407) 963-0125
Enumeration DateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1073121232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal MedicineTaxonomy 207R00000X
7300 SANDLAKE COMMONS BLVD STE 315, Orlando, FL 32819
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Other Identifiers 1

Medicaid003163400FL

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 2

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

DR. GLENN A. PFAFF
Internal Medicine
7300 SANDLAKE COMMONS BLVD STE 315
ORLANDO, FL 32819
Orange County (407) 352-1588
DR. LILLIAN T. SAAVEDRA MD
Psychiatry & Neurology (Psychiatry)
7300 SANDLAKE COMMONS BLVD STE 315
ORLANDO, FL 32819
Orange County (407) 849-0227

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 Dew Anti-Aging And Med Spa LLC's NPI number?

The NPI number for Dew Anti-Aging And Med Spa LLC is 1073121232. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Dew Anti-Aging And Med Spa LLC located?

Dew Anti-Aging And Med Spa LLC is located at 7300 Sandlake Commons Blvd Ste 315, Orlando, FL 32819. The listed phone number is (407) 963-0125.

What is Dew Anti-Aging And Med Spa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dew Anti-Aging And Med Spa LLC was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.