Organization
MOXIE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULEISY COTO FNP-C (APRN/OWNER)
(786) 975-6993
Entity
Organization
Contact information
Practice address
12515 ORANGE DR STE 803, DAVIE, FL 33330-4309
(786) 975-6993
(954) 405-8541
Mailing address
12515 ORANGE DR STE 803, DAVIE, FL 33330-4309
(786) 975-6993
(954) 405-8541
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/10/2025
Last updated
11/14/2025
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