FWC UROGYNECOLOGY LLC NPI 1245903012

NPI Information

  • NPI: 1245903012
  • Provider Name: FWC UROGYNECOLOGY, LLC
  • Classification: Urology - 2088F0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Organization
  • Address: 2979 PGA BLVD STE 100
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Phone: (561) 655-3331

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NPI Details

FWC UROGYNECOLOGY, LLC is an urogynecology and reconstructive pelvic surgery in Palm Beach Gardens, FL. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. FWC UROGYNECOLOGY, LLC NPI is 1245903012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2979 PGA BLVD STE 100
PALM BEACH GARDENS, FL
ZIP 33410-002
Phone: (561) 655-3331
Fax: (561) 655-3744

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 enumeration date for this NPI number is 7/28/2021 and was last updated on 2/23/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12088F0040XUrologyUrogynecology and Reconstructive Pelvic SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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