NPIMap

Organization Active NPI

FWC Perinatal, LLC

  • Maternal & Fetal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1639091952
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
FWC PERINATAL, LLC
Practice address
3108 17TH Street Suite E
St Cloud, FL 34769
Phone
(407) 566-2229
Fax
(407) 566-2499
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Walker
Title
Enrollment
Phone
(561) 300-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

3108 17TH Street Suite E
St Cloud, FL 34769

Mailing address

PO Box 818018
Cleveland, OH 44181-8018
Phone (561) 300-2410

National Provider Directory

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

Other organizations with this tax ID 27

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

View all 27

Locations

3108 17th St
Ste E
Saint Cloud, FL 34769

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1639091952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818018",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441818018",
            "telephone_number": "561-300-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 17TH STREET SUITE E",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-566-2229",
            "fax_number": "407-566-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC PERINATAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ENROLLMENT",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.