OrganizationActive
Fwc Urogynecology, LLC
NPI 1972276731 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Mangonia Park, FL
Provider details
- NPI number
- 1972276731
- 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
927 45th St Ste 103
Mangonia Park, FL 33407-2450
Phone: (561) 881-9650
Fax: (561) 881-9959
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5556
Belfast, ME 04915-5500
Registry dates
- Enumerated
- 2021-07-28
- 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.