MEDICARE: PRACTICAL WELLNESS SOLUTIONS PWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9508	FL

General Provider Information

NPI Number	:	1780825885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRACTICAL WELLNESS SOLUTIONS PWS

Provider Business Mailing Address
First Line	:	7950 S MILITARY TRL
Second Line	:	SUITE 103
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8162
Country	:	US
Telephone Number	:	561-374-2451
Fax Number	:	561-327-2649

Provider Business Practice Location Address
First Line	:	7950 S MILITARY TRL
Second Line	:	SUITE 103
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8162
Country	:	US
Telephone Number	:	561-374-2451
Fax Number	:	561-327-2649

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. LAURA M VALHUERDI
Credential	:	DC
Telephone Number	:	561-374-2451

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	12/10/2010

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