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
1447 MEDICAL PARK BLVD STE 300, WELLINGTON, FL 33414-3183
(561) 790-5990
(561) 790-5952
Mailing address
PO BOX 5558, BELFAST, ME 04915-5500
(561) 300-2410
(561) 235-7292
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
02/23/2022
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