Organization · Type 2 NPI

FWC Urogynecology, LLC

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Bradenton, FL

NPI number 1063330587 Active

Practice location

4764 E State Road 64
Bradenton, FL 34208-9058

Mailing address

PO Box 818018
Cleveland, OH 44181-8018

Specialties and licenses

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1063330587

FWC Urogynecology, LLC's National Provider Identifier is 1063330587, issued on Jul 10, 2026. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Bradenton, FL. The record was last updated on Jul 10, 2026.