Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dew Anti-Aging and Med Spa LLC

Organization Internal Medicine Physician · NPI 1073121232

Dew Anti-Aging and Med Spa LLC is an Internal Medicine Physician in Orlando, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7300 Sandlake Commons Blvd Ste 315
Orlando, FL 32819-8011
Phone: (407) 963-0125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1073121232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gillian Ellis — Owner/Provider · (407) 963-0125
NPI enumeratedJuly 14, 2020
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address1624 Kennesaw Dr, Clermont, FL 34711-6871

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