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
345 JUPITER LAKES BLVD STE 200, JUPITER, FL 33458-7100
(561) 741-1957
(561) 741-1893
Mailing address
PO BOX 5556, BELFAST, ME 04915-5500
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
02/23/2022
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