Organization
FWC PERINATAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HERNANDEZ (DIRECTOR)
(561) 300-2410
Entity
Organization
Contact information
Practice address
1530 CELEBRATION BLVD STE 104, CELEBRATION, FL 34747-5165
(407) 566-2229
(407) 566-2499
Mailing address
PO BOX 9100, BELFAST, ME 04915-9100
(561) 300-2410
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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