MEDICARE: ADVANCED WELLNESS SOLUTIONS 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	111N00000X	Chiropractor	CH11334	FL

General Provider Information

NPI Number	:	1972980258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED WELLNESS SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	729 SW FEDERAL HWY STE 102
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2913
Country	:	US
Telephone Number	:	855-509-5400
Fax Number	:	321-373-2062

Provider Business Practice Location Address
First Line	:	729 SW FEDERAL HWY STE 102
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2913
Country	:	US
Telephone Number	:	855-509-5400
Fax Number	:	321-373-2062

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. DANIELLE CHRISTINE HURD
Credential	:	DC
Telephone Number	:	855-509-5400

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	11/02/2022

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Directions to “ADVANCED WELLNESS SOLUTIONS LLC ” Practice Location

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