Aethereal Aesthetics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AETHEREAL AESTHETICS LLC

Practice address

3816 Sky Mountain Aly
Apopka, FL 32712-5767

Phone

(305) 699-7747

NPI assigned

Mar 31, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Dotson, RNNPI 1023958733

Title

Ceo

Phone

(305) 699-7747

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Dotson

  • Registered Nurse
  • Des Moines, IA
  • NPI 1023958733
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1124968847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SKY MOUNTAIN ALY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 SKY MOUNTAIN ALY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125767",
            "telephone_number": "305-699-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETHEREAL AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-699-7747",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Apopka, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.