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MOXIE WELLNESS CENTER LLC
NPI 1629943311
Clinic/Center - Primary Care in Davie, FL

Active since October 10, 2025CLIA 10D2337869 · Waiver
12515 ORANGE DR STE 803, DAVIE, FL 33330(786) 975-6993(954) 405-8541 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Oct 10, 2025 (2 updates tracked since 2025).

About Moxie Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOXIE WELLNESS CENTER LLC (NPI 1629943311) is a healthcare organization registered as a primary care in Davie, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Yuleisy Coto, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1629943311
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOXIE WELLNESS CENTER LLC
Location Address12515 ORANGE DR STE 803Davie, FL 33330-4309
Mailing Address12515 Orange Dr Ste 803Davie, FL 33330-4309 · (786) 975-6993 · Fax (954) 405-8541
Phone(786) 975-6993
Fax(954) 405-8541
Organization SubpartNo
Authorized OfficialYuleisy CotoAprn/owner · (786) 975-6993
Enumeration DateOctober 10, 2025
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1629943311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
12515 ORANGE DR STE 803, Davie, FL 33330
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2337869

Moxie Wellness Center LLC · Davie, FL
Active · expires Jan 31, 2028
CLIA Number10D2337869
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorYuleisy Coto
Laboratory Phone(786) 975-6993
Laboratory LocationMoxie Wellness Center LLC12515 Orange Dr Suite 803, Davie, FL 33330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. YULEISY COTO APRN
Nurse Practitioner (Family)
12515 ORANGE DR STE 803
DAVIE, FL 33330
Broward County (786) 975-6993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moxie Wellness Center LLC's NPI number?

The NPI number for Moxie Wellness Center LLC is 1629943311. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Moxie Wellness Center LLC located?

Moxie Wellness Center LLC is located at 12515 Orange Dr Ste 803, Davie, FL 33330. The listed phone number is (786) 975-6993.

What is Moxie Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Moxie Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2337869) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moxie Wellness Center LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.