Active NPI
FWC Urogynecology, LLC
- Gynecology Physician
- Orlando, FL
National Provider Identifier
1548914443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- FWC UROGYNECOLOGY, LLC
- Practice address
- 2501 N Orange Ave Ste 309
Orlando, FL 32804-4642 - Phone
- (407) 228-8066
- NPI assigned
- Feb 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Hernandez
- Title
- Manager
- Phone
- (561) 300-2410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
2501 N Orange Ave Ste 309
Orlando, FL 32804-4642
Mailing address
PO Box 5556
Belfast, ME 04915-5500
Phone (561) 300-2410
Other names 1
- Orlando Urogynecology, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Orlando Urogynecology LLC
Other organizations with this tax ID 30
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- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1548914443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5556",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155500",
"telephone_number": "561-300-2410",
"fax_number": "561-235-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 309",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044642",
"telephone_number": "407-228-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FWC UROGYNECOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-300-2410"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orlando Urogynecology, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.