NPIMap

Organization Active NPI

FWC Perinatal, LLC

  • Maternal & Fetal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1629640396
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
FWC PERINATAL, LLC
Practice address
2979 Pga Blvd Ste 100
Palm Beach Gardens, FL 33410-3002
Phone
(561) 655-3331
Fax
(561) 655-3744
NPI assigned
Jul 13, 2021
Organization subpart
Yes
Parent organization
FWC PERINATAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

2979 Pga Blvd Ste 100
Palm Beach Gardens, FL 33410-3002

Mailing address

PO Box 5558
Belfast, ME 04915-5500
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Tax ID family
FWC Perinatal LLC28 organizations share this tax ID, including this one
Part of
FWC Perinatal LLC

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1629640396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5558",
            "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": "2979 PGA BLVD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103002",
            "telephone_number": "561-655-3331",
            "fax_number": "561-655-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC PERINATAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FWC PERINATAL, LLC",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "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": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.