Organization
FWC PERINATAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HERNANDEZ (MANAGER)
(561) 300-2410
Entity
Organization
Contact information
Practice address
601 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5141
(561) 626-3800
(561) 624-6364
Mailing address
PO BOX 5558, BELFAST, ME 04915-5500
(561) 275-7608
(561) 835-4038
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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