Organization
FWC PERINATAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WALKER (PROVIDER ENROLLMENT)
(561) 300-2410
Entity
Organization
Contact information
Practice address
601 SE PORT ST LUCIE BLVD STE B, PORT SAINT LUCIE, FL 34984-5141
(561) 626-3800
(561) 820-2911
Mailing address
PO BOX 81798, CLEVELAND, OH 44181-0798
(561) 300-2410
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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