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MY GLOW HYDRATION AND WELLNESS LLC
NPI 1861230617
Family Medicine - Adult Medicine in Apopka, FL

Active since July 16, 2024
2300 E SEMORAN BLVD UNIT E, APOPKA, FL 32703(407) 900-7703(407) 386-7704 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Jul 16, 2024 (2 updates tracked since 2024).

About My Glow Hydration And Wellness Llc NPPES

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

MY GLOW HYDRATION AND WELLNESS LLC (NPI 1861230617) is a healthcare organization registered as an adult medicine in Apopka, Florida and active in the NPI registry since July 2024. The organization lists Emmanuela Derisbrun, Owner, as its authorized official.

NPPES Registry Identity

NPI1861230617
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMY GLOW HYDRATION AND WELLNESS LLC
Location Address2300 E SEMORAN BLVD UNIT EApopka, FL 32703-5809
Mailing Address2300 E Semoran Blvd Unit EApopka, FL 32703-5809 · (407) 900-7703 · Fax (407) 386-7704
Phone(407) 900-7703
Fax(407) 386-7704
Organization SubpartNo
Authorized OfficialEmmanuela DerisbrunOwner · (407) 900-7704
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1861230617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2300 E SEMORAN BLVD UNIT E, Apopka, FL 32703
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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

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 My Glow Hydration And Wellness LLC's NPI number?

The NPI number for My Glow Hydration And Wellness LLC is 1861230617. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is My Glow Hydration And Wellness LLC located?

My Glow Hydration And Wellness LLC is located at 2300 E Semoran Blvd Unit E, Apopka, FL 32703. The listed phone number is (407) 900-7703.

What is My Glow Hydration And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for My Glow Hydration And Wellness LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.