Organization Active NPI

FWC Perinatal, LLC

  • Maternal & Fetal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1962169995
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
FWC PERINATAL, LLC
Practice address
660 Glades Rd Ste 340
Boca Raton, FL 33431-6468
Phone
(561) 488-1801
Fax
(561) 451-1480
NPI assigned
Nov 24, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FWC PERINATAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 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
Maternal & Fetal Medicine Physician 207VM0101X NU 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) 488-1801

Other names 1

  • Minimally-Invasive Center for Women, LLC Other name

National Provider Directory

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

Other organizations with this tax ID 27

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

View all 27

Locations

660 Glades Rd
Ste 340
Boca Raton, FL 33431
Phone (561) 392-7508

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1962169995",
    "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": "561-488-1801",
            "fax_number": "561-451-1480"
        },
        {
            "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": "561-488-1801",
            "fax_number": "561-451-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FWC PERINATAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FWC PERINATAL, LLC",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-11",
        "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": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally-Invasive Center for Women, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 24, 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.