OrganizationActive
Dew Anti-Aging and Med Spa LLC
NPI 1073121232 · Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1073121232
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gillian Ellis, Owner/Provider(407) 963-0125
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7300 Sandlake Commons Blvd Ste 315
Orlando, FL 32819-8011
Phone: (407) 963-0125
Street-level locationGet directions
Mailing address
1624 Kennesaw Dr
Clermont, FL 34711-6871
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2020-07-14
- Certified
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.