# FWC PERINATAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841977428
- **Authorized official:** ERICA HERNANDEZ (DIRECTOR)
- **Authorized official phone:** (561) 300-2410

## Contact information

- **Practice address:** 1447 MEDICAL PARK BLVD STE 205, WELLINGTON, FL 33414
- **Practice address phone:** (561) 626-3800
- **Mailing address:** PO BOX 5558, BELFAST, ME 04915-5500
- **Mailing address phone:** (561) 300-2410
- **Mailing address fax:** (561) 953-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2023
- **Last updated:** 07/05/2023