FWC UROGYNECOLOGY LLC NPI 1205580107

NPI Information

FWC UROGYNECOLOGY, LLC is a gynecology obstetrics gynecology in Celebration, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee FWC UROGYNECOLOGY, LLC NPI is 1205580107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Orlando Urogynecology, Llc.

The provider's business location address is:

400 CELEBRATION PL STE A120
CELEBRATION, FL
ZIP 34747-970
Phone: (407) 228-8066

The provider's authorized official is Erica Hernandez .
The authorized official title is Manager and has the following contact phone number (561) 300-2410.

The CLIA number assigned to this NPI record is 10D2057474 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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