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FWC UROGYNECOLOGY LLC NPI 1962074070


NPI Information

NPI: 1962074070
Provider Name: FWC UROGYNECOLOGY, LLC
Classification: Urology - 2088F0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

CLIA Number: 10D1029754

Address:
6885 BELFORT OAKS PL STE 110
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 652-0373
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FWC UROGYNECOLOGY, LLC is a female pelvic medicine and reconstructive surgery urology in Jacksonville, FL. The provider is a urologist subspecialist in Female Pelvic Medicine and Reconstructive 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 1962074070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6885 BELFORT OAKS PL STE 110
JACKSONVILLE, FL
ZIP 32216-281
Phone: (904) 652-0373
Fax: (904) 652-0378

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 10D1029754 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2021 and was last updated on 7/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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