Organization
FWC UROGYNECOOLOGY, LLC
Active
Parent organization
OB/GYN SPECIALISTS OF THE PALM BEACHES DBA BOCA PERINATAL ASSOCIATES L
Organization subpart
Yes
Provider details
NPI number
Legal business name
OB/GYN SPECIALISTS OF THE PALM BEACHES DBA BOCA PERINATAL ASSOCIATES L
Authorized official
ERICA HERNANDEZ (MANAGER)
(561) 300-2410
Entity
Organization
Contact information
Practice address
2300 S CONGRESS AVE STE 104, BOYNTON BEACH, FL 33426-7400
(561) 752-0893
(561) 752-3224
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
08/12/2021
Last updated
09/22/2021
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