Advanced Wellness Solutions LLC
Organization Active NPI Chiropractor · Stuart, FL
NPI 1972980258 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1972980258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH11334 (FL)
- Legal business name
- ADVANCED WELLNESS SOLUTIONS LLC
- Practice address
- 729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913 - Phone
- (855) 509-5400
- Fax
- (321) 373-2062
- NPI assigned
- May 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Danielle Christine Hurd, DC
- Title
- Clinic Director
- Phone
- (855) 509-5400
Practitioners 1
-
Danielle Hurd, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150713000374 | FL | Part B Supplier - Clinic/Group Practice | 5092027557 |
Receives reassigned benefits from 1 practitioner Practice locations: Stuart, FL |
National Provider Directory
Locations
4965 S US Highway 1
Fort Pierce, FL 34982
Phone (321) 373-1234
20 E Melbourne Ave
Melbourne, FL 32901
Phone (321) 633-9838
20 E Melbourne Ave
Ste 107
Melbourne, FL 32901
20 E Melbourne Ave
#107
Melbourne, FL 32901
Phone (321) 373-1234
729 SW Federal Hwy
Ste 102
Stuart, FL 34994
Phone (772) 403-7640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH11334 | FL | Yes |
Addresses
Primary practice location
729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913
Mailing address
729 SW Federal Hwy Ste 102
Stuart, FL 34994-2913
Phone (855) 509-5400
Other practice location 1
5759 SE Federal Hwy
Stuart, FL 34997-8545
Phone (855) 509-5400
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.