NPIMap

Organization Active NPI

FWC Perinatal, LLC

  • Maternal & Fetal Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1881481778
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
FWC PERINATAL, LLC
Practice address
601 SE Port St Lucie Blvd Ste B
Port Saint Lucie, FL 34984-5141
Phone
(561) 626-3800
Fax
(561) 820-2911
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

601 SE Port St Lucie Blvd Ste B
Port Saint Lucie, FL 34984-5141

Mailing address

PO Box 81798
Cleveland, OH 44181-0798
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

601 SE Port St Lucie Blvd
Ste B
Port Saint Lucie, FL 34984

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1881481778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81798",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810798",
            "telephone_number": "561-300-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE PORT ST LUCIE BLVD STE B",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "561-626-3800",
            "fax_number": "561-820-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC PERINATAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "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 Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.