FABEN OBSTETRICS AND GYNECOLOGY LLC
NPI 1902475569
Obstetrics & Gynecology in Jacksonville, FL

Active since June 18, 2021CLIA Certified · 2 labs
4181 SOUTHPOINT DR E STE 300, JACKSONVILLE, FL 32216(904) 346-0050(904) 346-0080 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Faben Obstetrics And Gynecology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FABEN OBSTETRICS AND GYNECOLOGY LLC (NPI 1902475569) is a healthcare organization registered as an obstetrics & gynecology in Jacksonville, Florida and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Erica Hernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1902475569
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFABEN OBSTETRICS AND GYNECOLOGY LLC
Location Address4181 SOUTHPOINT DR E STE 300Jacksonville, FL 32216-8083
Mailing AddressPo Box 9100Belfast, ME 04915-9100 · (561) 300-2410 · Fax (561) 235-7292
Fax(904) 346-0080
Organization SubpartYesParent: Florida Woman Care,llc
Authorized OfficialErica HernandezManager · (561) 300-2410
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1902475569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4181 SOUTHPOINT DR E STE 300, Jacksonville, FL 32216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2091401

Faben Obstetrics & Gynecology LLC · Jacksonville, FL
Active · expires Feb 11, 2027
CLIA Number10D2091401
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorFelicia O. Fox
Laboratory Phone(000) 904-3460
Laboratory LocationFaben Obstetrics & Gynecology LLC4181 Southpoint Dr E Ste 300, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2163289

Faben Obstetrics And Gynecology, LLC · Jacksonville, FL
Active · expires Mar 11, 2027
CLIA Number10D2163289
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorAna Hicks
Laboratory Phone(561) 300-2410
Laboratory LocationFaben Obstetrics And Gynecology, LLC1510 Riverplace Blvd, Jacksonville, FL 32207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2015565

Faben Obstetrics & Gynecology LLC · Jacksonville, FL
Expired · Aug 12, 2026
CLIA Number10D2015565
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorAna Hicks
Laboratory Phone(561) 300-2410
Laboratory LocationFaben Obstetrics & Gynecology LLC4425 Merrimac Ave, Jacksonville, FL 32210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faben Obstetrics And Gynecology LLC's NPI number?

The NPI number for Faben Obstetrics And Gynecology LLC is 1902475569. It was assigned to this organization in the NPPES registry on June 18, 2021.

Where is Faben Obstetrics And Gynecology LLC located?

Faben Obstetrics And Gynecology LLC is located at 4181 Southpoint Dr E Ste 300, Jacksonville, FL 32216. The listed phone number is (904) 346-0050.

What is Faben Obstetrics And Gynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Faben Obstetrics And Gynecology LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Faben Obstetrics And Gynecology LLC was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.