OrganizationActive
Fwc Urogynecology, LLC
NPI 1720753791 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Port St Lucie, FL
Provider details
- NPI number
- 1720753791
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fwc Urogynecology, LLC
- Organization subpart
- Yes
- Authorized official
- Erica Hernandez, Manager(561) 300-2410
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10521 Sw Village Center Dr Ste 101
Port St Lucie, FL 34987-1930
Phone: (561) 626-3800
Fax: (561) 624-6364
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5556
Belfast, ME 04915-5500
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.