Organization
FWC PERINATAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HERNANDEZ (DIRECTOR)
(561) 300-2410
Entity
Organization
Contact information
Practice address
1447 MEDICAL PARK BLVD STE 205, WELLINGTON, FL 33414
(561) 626-3800
Mailing address
PO BOX 5558, BELFAST, ME 04915-5500
(561) 300-2410
(561) 953-4150
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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