Organization
CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA
Active
Parent organization
FWC PERINATAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FWC PERINATAL, LLC
Authorized official
ERICA HERNANDEZ (DIRECTOR)
(561) 300-2410
Entity
Organization
Contact information
Practice address
2209 NORTH BLVD W STE C, DAVENPORT, FL 33837-8903
(407) 566-2229
(407) 566-2499
Mailing address
PO BOX 818018, CLEVELAND, OH 44181-8018
(561) 300-2410
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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