Organization
FWC UROGYNECOLOGY, LLC
Active
Organization
FWC UROGYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WALKER (ENROLLMENT)
(561) 300-2410
Entity
Organization
Contact information
Practice address
3400 TAMIAMI TRL STE 102, PORT CHARLOTTE, FL 33952-8102
(941) 265-8919
Mailing address
PO BOX 818018, CLEVELAND, OH 44181-8018
(561) 300-2410
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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