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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
1447 MEDICAL PARK BLVD STE 300, WELLINGTON, FL 33414-3183
(561) 790-5990
(561) 790-5952
Mailing address
PO BOX 5558, BELFAST, ME 04915-5500
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
02/23/2022
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