MEDICARE: HYPERMOBILITY HUB LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1588516777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYPERMOBILITY HUB LLC

Provider Business Mailing Address
First Line	:	12574 FLAGLER CENTER BLVD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-2615
Country	:	US
Telephone Number	:	904-674-8037
Fax Number	:	904-674-8037

Provider Business Practice Location Address
First Line	:	12574 FLAGLER CENTER BLVD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-2615
Country	:	US
Telephone Number	:	904-674-8037
Fax Number	:	904-674-8037

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	CRYSTAL HUB WADE
Credential	:	APRN-BC
Telephone Number	:	904-674-8037

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “HYPERMOBILITY HUB LLC ” Practice Location

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