OrganizationActive
Aethereal Aesthetics LLC
NPI 1124968847 · Clinic/Center · Apopka, FL
Provider details
- NPI number
- 1124968847
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samantha Dotson, Ceo(305) 699-7747
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3816 Sky Mountain Aly
Apopka, FL 32712-5767
Phone: (305) 699-7747
Approximate (ZIP-level) locationGet directions
Mailing address
3816 Sky Mountain Aly
Apopka, FL 32712-5767
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.