Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Glow Hydration and Wellness LLC

Organization Adult Medicine Physician · NPI 1861230617

My Glow Hydration and Wellness LLC is an Adult Medicine Physician in Apopka, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

2300 E Semoran Blvd Unit E
Apopka, FL 32703-5809
Phone: (407) 900-7703
Fax: (407) 386-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1861230617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuela Derisbrun — Owner · (407) 900-7704
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address2300 E Semoran Blvd Unit E, Apopka, FL 32703-5809

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