Organization
FWC UROGYNECOLOGY, LLC
Active
Parent organization
FWC UROGYNECOLOGY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FWC UROGYNECOLOGY, LLC
Authorized official
ERICA HERNANDEZ (MANAGER)
(561) 300-2410
Entity
Organization
Contact information
Practice address
6280 SUNSET DR STE 408, SOUTH MIAMI, FL 33143-4860
(305) 441-7999
(305) 633-4757
Mailing address
PO BOX 5556, BELFAST, ME 04915-5500
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
02/23/2022
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