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
MR. AARON SUDBURY MD (MEDICAL DIRECTOR)
(561) 300-2410
Entity
Organization
Contact information
Practice address
1501 YAMATO ROAD, SUITE 200 WEST, BOCA RATON, FL 33431
(561) 300-2410
(561) 235-7292
Mailing address
PO BOX 5556, BELFAST, ME 04915-5500
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
06/24/2011
Last updated
02/23/2022
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