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Organization
FWC PERINATAL, LLC
Active
Organization
FWC PERINATAL, LLC
Active
Parent organization
FWC PERINATAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FWC PERINATAL, LLC
Authorized official
ERICA HERNANDEZ (MANAGER)
(561) 300-2410
Entity
Organization
Contact information
Practice address
10521 SW VILLAGE CENTER DR STE 101, PORT SAINT LUCIE, FL 34987-1930
(561) 655-3331
Mailing address
PO BOX 9100, BELFAST, ME 04915-9100
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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