| My Glow Hydration And Wellness Llc | |
|
2300 E Semoran Blvd Unit E Apopka FL 32703-5809 | |
| (407) 900-7703 | |
| (407) 386-7704 |
| Full Name | My Glow Hydration And Wellness Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2300 E Semoran Blvd Unit E, Apopka, Florida |
| Authorized Official Name and Position | Emmanuela Derisbrun (OWNER) |
| Authorized Official Contact | 4079007704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Glow Hydration And Wellness Llc 2300 E Semoran Blvd Unit E Apopka FL 32703-5809 Ph: (407) 900-7703 | My Glow Hydration And Wellness Llc 2300 E Semoran Blvd Unit E Apopka FL 32703-5809 Ph: (407) 900-7703 |
| NPI Number | 1861230617 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861230617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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