Organization Active NPI

FWC GYN Oncology, LLC

  • Medical Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1902562556
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
FWC GYN ONCOLOGY, LLC
Practice address
660 Glades Rd Ste 340
Boca Raton, FL 33431-6468
Phone
(941) 746-7507
NPI assigned
Nov 9, 2021
Organization subpart
Yes
Parent organization
FWC GYN ONCOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

660 Glades Rd Ste 340
Boca Raton, FL 33431-6468

Mailing address

PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Part of
FWC GYN Oncology LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1902562556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159100",
            "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": "660 GLADES RD STE 340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316468",
            "telephone_number": "941-746-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC GYN ONCOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FWC GYN ONCOLOGY, LLC",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "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": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.