Healthcare Provider Details

I. General information

NPI: 1114843216
Provider Name (Legal Business Name): EDUK WELLNESS CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6149 CHANCELLOR DR STE 2800
ORLANDO FL
32809-5694
US

IV. Provider business mailing address

6149 CHANCELLOR DR STE 2800
ORLANDO FL
32809-5694
US

V. Phone/Fax

Practice location:
  • Phone: 407-533-8755
  • Fax:
Mailing address:
  • Phone: 407-533-8755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ENDERLIZ MORENO
Title or Position: CEO
Credential:
Phone: 407-533-8755