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Organization

FWC UROGYNECOOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA HERNANDEZ (DIRECTOR)
(561) 300-2410
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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