Organization
FWC PERINATAL, LLC
Active
Parent organization
FWC PERINATAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FWC PERINATAL, LLC
Authorized official
ERICA HERNANDEZ (MANAGER)
(561) 300-2410
Entity
Organization
Contact information
Practice address
10521 SW VILLAGE CENTER DR STE 101, PORT SAINT LUCIE, FL 34987-1930
(561) 655-3331
Mailing address
PO BOX 9100, BELFAST, ME 04915-9100
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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