Active NPI
FWC GYN Oncology, LLC
- Medical Oncology Physician
- Boca Raton, FL
National Provider Identifier
1902562556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- 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, LLC
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 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.
-
- Gynecologic Oncology Physician
- Tampa, FL
- NPI 1750677019
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.