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Florida Woman Care, LLC

Obstetrics & Gynecology in Port St Lucie, FL. Organization (NPI-2).

NPI number1669047148
StatusActive
Last updated in NPPESFeb 23, 2022

Details

NPI
1669047148
Entity type
Organization (NPI-2)
Legal business name
Florida Woman Care, LLC
Organization subpart
Yes
Enumeration date
May 26, 2021
Certification date
Feb 23, 2022
Last updated
Feb 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes

Practice location

10771 Sw Trade St
Port St Lucie, FL 34987-2119

Phone 772-219-1080 · Fax 772-219-1071

Mailing address

Po Box 9100
Belfast, ME 04915-9100

Phone 561-300-2410 · Fax 561-235-7292

Authorized official

Erica Hernandez
Manager
5613002410

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