OrganizationActive
Fwc Urogynecology, LLC
NPI 1962074070 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Jacksonville, FL
Provider details
- NPI number
- 1962074070
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fwc Urogynecology, LLC
- Authorized official
- Erica Hernandez, Manager
Practice location
6885 Belfort Oaks Pl Ste 110
Jacksonville, FL 32216-6281
Phone: (904) 652-0373
Fax: (904) 652-0378
Mailing address
Po Box 5556
Belfast, ME 04915-5500
Registry dates
- Enumerated
- 2021-07-16
- Last updated
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.