Organization
FWC UROGYNECOLOGY, LLC
Active
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
1447 MEDICAL PARK BLVD STE 300, WELLINGTON, FL 33414-3183
(561) 790-5990
(561) 790-5952
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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