Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fwc Urogynecology, LLC

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1063330587

Fwc Urogynecology, LLC is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Bradenton, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4764 E State Road 64
Bradenton, FL 34208-9058
Phone: (941) 265-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1063330587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Walker — Enrollment · (561) 300-2410
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing addressPo Box 818018, Cleveland, OH 44181-8018

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