NPIMap

Organization Active NPI

FWC Urogynecology, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Boca Raton, FL
National Provider Identifier
1902571979
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
Legal business name
FWC UROGYNECOLOGY, LLC
Practice address
875 Meadows Rd Ste 325
Boca Raton, FL 33486-2349
Phone
(561) 395-4456
Fax
(561) 395-4457
NPI assigned
Aug 12, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OB/GYN SPECIALISTS OF THE PALM BEACHES DBA BOCA PERINATAL ASSOCIATES LAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 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
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088F0040X Primary

Addresses

Primary practice location

875 Meadows Rd Ste 325
Boca Raton, FL 33486-2349

Mailing address

PO Box 5556
Belfast, ME 04915-5500
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Tax ID family
Orlando Urogynecology LLC31 organizations share this tax ID, including this one
Part of
Orlando Urogynecology LLC

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1902571979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5556",
            "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": "875 MEADOWS RD STE 325",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862349",
            "telephone_number": "561-395-4456",
            "fax_number": "561-395-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC UROGYNECOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OB/GYN SPECIALISTS OF THE PALM BEACHES DBA BOCA PERINATAL ASSOCIATES L",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "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": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "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 Sep 22, 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.